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socialuri pediatriis dacvis fondis, evromecnierebis saqarTvelos erovnuli seqciis, da bavSvTa axali klnikis gazeTi 2013w.<br />
gilocavT gilocavT bavSvTa bavSvTa saerTaSoriso saerTaSoriso dRes<br />
dRes<br />
1 1 <strong>ivniss</strong>!<br />
<strong>ivniss</strong>!<br />
#@1, 27.06.2008<br />
20.12.2008<br />
23.12.2008<br />
01.06.2009<br />
19.12.2009<br />
01.06.2010; 03.12.2010<br />
01.06.2011; 23.12.2011<br />
01.06.2012; 21.12.2012<br />
_ 01.06.2010<br />
, II kongresi<br />
karaleTi<br />
93 727(1997-dRemde)<br />
124 000(1980-1991)<br />
#33<br />
#33<br />
ivnisi<br />
ivnisi<br />
; 1.06.2010; 09.12.2010; 01.06.2011; 23.12.2011;<br />
1<br />
janmrTeloba<br />
samecniero-praqtikuli konferencia: XII-XIII-XV-XVI-XVII-XVIII-XIX-XX<br />
: XXI-XXII-XXIII-XXIV-XXV-XXVI-XXVII-XXIX<br />
XXX samecniero-praqtikuli konferencia<br />
XXX XXX SCIENTIFIC SCIENTIFIC CONFERENCE<br />
CONFERENCE<br />
Tbilisi 1-4.06.2013 TBILISI<br />
TBILISI<br />
(Tbilisis (Tbilisis saxelmwifo saxelmwifo samedicino samedicino universiteti universiteti mis. mis. vaJa-fSavelas vaJa-fSavelas #29)<br />
#29)<br />
evromecnierebis saqarTvelos erovnuli seqciis sabWos sxdoma<br />
XXI<br />
XXI<br />
01.06.2012; 21.12.2012<br />
XXI saukunis pediatria-invalidobis profilaqtikis medicinad unda iqces
2<br />
XX XXIX XX IX konferencia<br />
konferencia<br />
,,Canasaxidan bavSvs ufleba aqvs iyos daculi”<br />
,,bavSvTa usafrTxoeba mecnierebis gziT”<br />
,,socialuri pediatria da bavSvTa usafrTxoeba”<br />
(pres relizi)<br />
2012 wlis 21-22 dekembers<br />
Cveni qveynis pediatrebi, socialuri<br />
pediatriis dacvis<br />
fondis warmomadgenlebi,<br />
dedaqalaqis klinikis<br />
warmomadgenlebi, mecnierebi,<br />
sazogado moRvaweebi, Seikribnen<br />
konferenciaze, romelic<br />
tradiciulad Catarda<br />
Tssu-is saaqto darbaz-<br />
Si.<br />
konferncia Tbilisis saxelmwifo<br />
samedicino universitetis,<br />
saqarTvelos humanitaruli<br />
da saxelovnebo<br />
mecnierebaTa akademiis,<br />
socialuri pediatriis<br />
dacvis fondis, Tbilisis<br />
saxelmwifo samedicino<br />
universitetis, bavSvTa axali<br />
klinikis, gestozebis<br />
Svilobili samedicino<br />
daxmarebis saerTaSoriso<br />
organizaciis, samedicinosocialuri<br />
mecnierebis interkontinentaluriakademiis,<br />
saqarTvelos bavSvTa<br />
kardiologTa asociaciis,<br />
saqarTvelos sabunebismetyvelo<br />
mecnierebaTa akademiis,<br />
saqarTvelos eqimTa<br />
asociaciis, saqarTvelos<br />
meddaTa asociaciis, aliansi<br />
koalicia damoukidebeli<br />
cxovreba `moZraoba<br />
afxazeTisaTvis’’, saqarTvelos<br />
axalgazrda pediatr-<br />
Ta ligis, sruliad saqar-<br />
Tvelos qalTa kongresis,<br />
eqimTa uflebebis dacvis<br />
asociaciis, saqarTvelos samedicino<br />
specialistebis<br />
asociaciis, evropis medikos<br />
studentTa asociaciis,<br />
saqarTvelos pediatrTa<br />
akademiis, saqarTvelos bav-<br />
SvTa qirurgTa asociaciis,<br />
dedaTa da bavSvTa janmr-<br />
Telobis centris, saqarTvelos<br />
sportis departamentis,<br />
saqarTvelos pediatr-<br />
Ta asociaciis, Tssu studenturi<br />
TviTmmarTvelobis,<br />
Tssu studentTa samecniero<br />
sabWos mier iyo organizebuli.<br />
konfernciis Tavmjdomareebi:<br />
profesorebi: giorgi<br />
CaxunaSvili, irakli ciciSvili,<br />
avTandil kvezereli-kopaZe,<br />
vaniko CxaiZe,<br />
igor doliZe, yaraman fa-<br />
Rava, ramaz kutubiZe.<br />
plenaruli sxdomebis<br />
reJimSi Catarda sami sxdoma:<br />
socialuri pediatriis<br />
dacvis fondis prezidentma<br />
profesorma g. CaxunaSvilma<br />
qebis sigelebi gadasca<br />
profesors igor doliZes,med.<br />
Mmec. doqtors<br />
profesor aliko labartyavas,<br />
bavSvTa travmatologs<br />
jumber CantlaZes,bavSvTa<br />
qirurgs g.yifians da bavSvTa<br />
anesTeziologs oTar<br />
gvenetaZes.<br />
konferencias eswrebodnen<br />
socialuri pediatriis<br />
dacvis fondis warmomadgenlebi,<br />
mowveuli pediatrebi<br />
dedaqalaqis klinikebidan,<br />
mecnierebi, sazogado<br />
moRvaweebi, sportsmenebi,<br />
mwvrTvnelebi. konferenciaze<br />
daregistrirda 250<br />
delegati. maT gadaecaT<br />
sertifikatebi.<br />
konferencia gaixsna moxsenebiT,romelic<br />
exeboda<br />
arsebul aqtualur problemebs.<br />
kerZod, - medicinis<br />
doqtorma d. CaxunaSvilma<br />
da k.CaxunaSvilma<br />
warmoadgina moxseneba: `“evromecnierebis<br />
saqarTvelos<br />
erovnuli seqciis prioritetebi~<br />
I plenaruli sxdoma mieZRvna<br />
pediatriis marTvis<br />
prioritetebs:<br />
1. pediatriuli marTvis<br />
prioritetebi da maTi ganviTarebis<br />
perspeqtivebi saqarTveloSi<br />
_ saqarTvelos<br />
pediatrTa asociaciis prezidenti<br />
profesori a.kvezereli-kopaZe<br />
2. demografiuli mdgo-
mareoba saqarTveloSi – saqarTvelos<br />
pediatrTa akademiis<br />
prezidenti profesori<br />
i.ciciSvili<br />
3..medicinis, sportisa da<br />
ganaTlebis erTiani mecnieruli<br />
marTvis aucilebloba“–<br />
socialiri pediatriis<br />
dacvis fondis Tavmjdomare<br />
profesori g.CaxunaSvili<br />
4. pediatrTa profesiuli<br />
mzadeba – sarezidento<br />
programis „pediatria“program<br />
direqtori, sruli profesori<br />
ir. favleniSvili<br />
II plenaruli sxdoma mieZRvna<br />
XXIX samecnieropraqtikulikonferencia,sadac<br />
mosmenili iqna saintereso<br />
leqciebi da moxsenebani:<br />
– `bavSvTa da mozardTa<br />
klinikuri kardio-revmatologiis<br />
safuZvlebi” - saqarTvelos<br />
bavSvTa kardiologTa<br />
asociaciis prezidenti<br />
: m.m.d. sr. profesori,<br />
akad. g. CaxunaSvili<br />
(Tbilisi)<br />
- `genetikis aqtualuri<br />
sakiTxebi” m.d. prof. m. WipaSvili<br />
– molekuluri da<br />
samedicino genetikis departamenti.<br />
(Tssu)<br />
1. `alchaimeris simdromi”<br />
m. labaZe<br />
– `jansaRi kveba BbavSvebs”<br />
1. `sportsmenebSi mikronutrientebis<br />
deficitis<br />
koregireba `m.d. prof..d.zarnaZe,<br />
m.d. prof. i.zarnaZe(Tbilisi)<br />
2. `api puri“ - aminomJavebiT,<br />
vitaminebiTa da mineralebiT<br />
gamdidrebuli<br />
puri“ i.kalandia, k.CaxunaSvili,<br />
n.jobava, n.badriaSvili,n.TofuriZe,gCaxunaSviliz.SaqaraSvili(Tbilisi)~<br />
3. `wyali _ bavSvis janmrTeli<br />
sicocxlis akvani”<br />
m.m.d. prof. ig. doliZe (Tbilisi)<br />
4. `genmodificirebuli<br />
sakvebi da bavSvis organizmi”.<br />
Tssu-is profesorebi<br />
n. xvitia, d. cxomeliZe, e.<br />
mWedliSvili. studentebi:<br />
haSan gamage (Srilanka), alias<br />
miqael volas (trinidadi<br />
da tobago), m. kucia (saqarTvelo),<br />
vl. ozaSvili<br />
(saqarTvelo), d. CaxunaSvili<br />
(saqarTvelo), j. buza-<br />
riaSvili (saqarTvelo).<br />
konferenciisas gaimarTa<br />
vromecnierebis saqarTvelos<br />
erovnuli seqciis morigi<br />
sxdoma.<br />
konferenciaze gaimarTa<br />
aqtualur sakiTxebze kama-<br />
Ti, sadac gamomsvlelebma<br />
daafiqsires TavianTi poziciebi.<br />
bolos miRebuli iqna<br />
rezolucia:<br />
evromecnierebis saqar-<br />
Tvelos erovnuli seqciis<br />
2012-2016 wlebis strategiuli<br />
gegma gadiodes<br />
masSi axalgazrdobis mecnierebaSi<br />
CarTvis mkveTri<br />
matebisaken da daevalos<br />
evromecnierebis saqarTvelos<br />
erovnuli seqciis<br />
axalgazrdul departments<br />
maszed metad ganaxorcielos<br />
aqtiuri muSaoba<br />
SemuSavebuli grZelvadiani<br />
gegmis mixedviT.<br />
miRebul iqna gadawyvetilebebi<br />
evromecnierebis saqarTvelos<br />
erovnulma seqciam<br />
gaagrZelos Tavisi saorganizacio<br />
saqmianoba axali<br />
gamgeobiTa da TavmjdomariT<br />
2016 wlamde da masve<br />
daevalos axali Tavmjdomaris<br />
axali vadiT arCeva<br />
2017 wels.<br />
evromecnierebis saqarTvelos<br />
erovnulma seqciam<br />
yvela Rone ixmaros, acnobos<br />
samTavrobo struqturebs<br />
da gaagrZelos Tavisi<br />
saorganizacio saqmianoba,<br />
raTa saqarTveloSi Catardes<br />
2016wlis an 2018 wlis<br />
evromecnierebis forumi.<br />
2014 welsMmomzaddes saqarTvelos<br />
eqTanTa III konferencia.A<br />
yoveli wlis 1 <strong>ivniss</strong><br />
dedaTa da bavSvTa mzrun-<br />
velobis mxardasaWerad gamocxaddes<br />
samedicino dawesebulebebSi<br />
sayove-<br />
TaoYRia karis dRe.<br />
kvebis obieqtebi, mwarmoeblebTan<br />
erTad aqtiurad<br />
Caebnen moZraobaSi `jansa-<br />
Ri kveba BbavSvebs~<br />
gazeTis `socialuri pediatria”<br />
da Jurnalebis `so-<br />
cialuri,ekologiuri da<br />
klinikuri pediatriis~<br />
da”bavSvTa kardiologiis~<br />
axali nomrebis WWW. <strong>sppf</strong>.<strong>info</strong>-is<br />
da WWW. esgns.org<br />
veb.gverdze ganTavsebisa da<br />
maTgan referirebad JurnalebSi<br />
statiebis gamoqveynebis<br />
strategiis gaaqtiveba.<br />
7. arasamTavrobo organizaciebis<br />
samTavroboebTan<br />
erTad erToblivad dawesebuli<br />
medicinaSi `oqros<br />
stetoskopisa~ da `oqros<br />
lancetis” varskvlavis<br />
mflobeli dasaxeldes (Tu<br />
aseTi kandidatura SeirCeva<br />
msurvelTagan)Seqmnili<br />
komisiis mier araugvianes<br />
2013w-is 1 ivnisisa.<br />
8. saqarTvelos dRevandeli<br />
pediatriuli samsaxuris<br />
marTvisa da ganvi-<br />
Tarebis mizniT, gatardes<br />
Semdegi RonisZiebebis:<br />
antenataluri periodis<br />
nayofis daavadebaTa profilaqtikisa<br />
da mkurnalobis<br />
im meTodebis danergva,<br />
romlebis dReisTvis mTel<br />
msoflioSi rutinul sa-<br />
Sualebad miiCneva. da saqarTvelos<br />
samSobiaro saxlebSi<br />
naklebad gamoiyeneba.<br />
perinataluri centrebis<br />
Camoyalibeba saqar-<br />
TveloSi (Tbilisi, quTaisi,<br />
baTumi, zugdidi, Telavi)<br />
referaluri sitemebis<br />
gafarToeba da srulyofa<br />
jandacvis sa<strong>info</strong>rmacio<br />
sistemis da statistikuri<br />
samsaxuris gaZliereba<br />
da srulyofa<br />
uwyveti samedicino<br />
ganaTlebis sistematizireba<br />
da eqimTa sertificirebisa<br />
da licenzirebis<br />
daxvewa.<br />
sayovelTao samedici-<br />
no dazRvevis ganviTareba<br />
da srulyofa.<br />
bavSvTa daavadebaTa gaidlainebisa<br />
da protokolebis<br />
damuSaveba da maTi<br />
danergva samkurnalo profilaqtikur<br />
dawesebulebeb-<br />
Si.<br />
saqarTveloSi sakuTari<br />
bavSvTa kvebis produqtebis<br />
Seqmna da maTi teqno-<br />
3<br />
logiuri procesebis qarxnuli<br />
wesiT gamoSveba.<br />
saqarTveloSi mosaxleobis<br />
siRaribis miRma arsebuli<br />
bavSvTa kontigentisaTvis<br />
gaixsnas qveynis<br />
masStabiT 3 munici paluri<br />
bavSvTa stacionari.<br />
respublikis regionebSi<br />
aSenebuli axal samkurnalo-profilaqtikuridawesebulebebs<br />
unda miekuTvnos<br />
kategoriebi da amis Sesatyvisad<br />
dauyovnebliv daudgindeT<br />
muSaobis uflebamosilobis<br />
kroteriumebi.<br />
dazustdes ra donezea<br />
regionebSi pediatriuli<br />
samsaxuris saqmianoba da ra<br />
princi pebiT regulirdeba<br />
igi.<br />
jandacvis organoebis<br />
mier gamaxvildes yuradReba<br />
pediatriaSi samecnierokvleviTi<br />
saqmianobis ganviTarebaze<br />
da doqtorant-<br />
Ta ricxvis gazrdaze.<br />
ganxorcieldes pediatriis<br />
institutis reorganizacia<br />
raTa misi profesiuli<br />
kadrebis gamoyenebiT<br />
ganxorcieldes mravali<br />
orgamizaciuli sakiTxis<br />
damuSaveba da misi<br />
pediatriul praqtikaSi danergva.<br />
9. ganxorcieldes medicinis,<br />
sportisa da ganaTlebis<br />
erTiani mecnieruli<br />
marTva<br />
10. ganxorcieldes pediatrTa<br />
profesiuli mzadebis<br />
monitoringi<br />
11. momzaddes da Catardes<br />
saqarTvelos pediatTa<br />
VI kongresi 2014-2015ww-<br />
Si,Seiqmnas misi saorganizacio<br />
komiteti.<br />
P.S. meore dRes 22.12.12.<br />
konferenciis organizatorebis<br />
iniciativiT Catarda<br />
saqvelmoqmedo konsultaciebi,<br />
da gaisinja 250mde<br />
bavSvi.
4<br />
bavSvTa uflebebi uzrunvelyofs<br />
bavSvebis sicocxlis Senar-<br />
Cunebas, maT ganviTarebasa da ke-<br />
TildReobas.<br />
bavSvebi ibadebian Tavisufalni<br />
da yvela adamianuri uflebis<br />
mqoneni. es aris bavSvis uflebaTa<br />
konvenciis, adamianis uflebaTa<br />
saerTaSoriso xelSekrulebis<br />
ZiriTadi winamZRvari, romelic<br />
gardaqmnis bavSvebisa da<br />
maTi ojaxebis cxovrebas mTel<br />
msoflioSi.1,2,12 „bavSvis uflebaTa<br />
konvencia“, romelsac gaeros<br />
generalurma asambleam er-<br />
Txmad dauWira mxari 1989 wels<br />
msoflio masStabis iuridiuli<br />
dokumentia. saqarTveloSi am konvenciis<br />
ratificireba 1994 wlis<br />
21 aprils moxda da aiRo valdebuleba<br />
Seasrulos konvenciis<br />
debulebani – saxelmwifos upirvelesi<br />
sazrunavi unda iyos 18<br />
wlamde asakis bavSvebis dacva<br />
da maTze zrunva.<br />
bavSvis uflebaTa konveciis<br />
ZalaSi Sesvlidan dRemde bavSvebis<br />
dacvis saqmeSi miRweulia<br />
progresi. gadaidga mniSvnelovani<br />
nabijebi. SemuSavda axali<br />
kanonmdebloba, ufro daxvewili<br />
saerTaSoriso normebiT, rogoric<br />
aris bavSvis uflebaTa konvenciis<br />
damatebiTi oqmebi bavSvebiT<br />
vaWrobis, bavSvTa prostituciisa<br />
da pornografiis, SeiaraRebul<br />
konfiqtebSi bavSvTa<br />
gamoyenebis Sesaxeb. umniSvnelovanesia<br />
bavSvTa uflebebi konfliqtis<br />
zonebSi da ar SemiZlia<br />
ar Sevexo mas saqarTvelos<br />
magaliTze.<br />
sabWoTa kavSiris daSlam da<br />
Tavisuflebis dabrunebam saqarTvelos<br />
mosaxleobas moutana politikuri<br />
areuloba, samoqalaqo<br />
omi da ekonomikis rRveva. samxreT<br />
oseTsa da afxazeTSi konfliqtebisa<br />
da separatistuli moZraobebis<br />
Sedegad adgili hqonda mZvinvare<br />
brZolebsa da iZulebiTi migraciis<br />
procesebs. dReisaTvis, rogorc<br />
cnobilia afxazeTsa da samxreT<br />
oseTs okupirebulia ruse-<br />
Tis mier da marTaven de facto<br />
marionetuli separatistuli mTavrobebi,<br />
romlebsac saerTaSoriso<br />
Tanamegobroba ar cnobs. sagulisxmoa,<br />
rom janmrTelobasTan, kvebasTan,<br />
ganaTlebasTan, agreTve, bav-<br />
Svebis dacvasa da ganviTarebas-<br />
Tan dakavSirebuli problemebi<br />
okupirebuli ruseTis mier zonebSi<br />
ufro mkveTrad aris gamoxatuli,<br />
vidre saqarTvelos danarCen<br />
nawilebSi. saerTaSoriso<br />
Tanamegobrobam umjobesia metad<br />
gaafarToos sakuTari roli am zonebSi<br />
bavSvTa uflebebis dacvis<br />
saqmeSi.<br />
da marTlac, ‘Canasaxidan bavSvs<br />
ufleba aqvs iyos daculi~.<br />
dReisaTvis aRiniSneba bavSv-<br />
Ta da mozardTa sportSi Cabmis<br />
intensiobis mateba.umniSvnelovanesia,<br />
rom amJamad mimdinareobs<br />
sportis. medicinisa da ganaTlebis<br />
erTiani mecnieruli mar-<br />
Tvis ganxorcielebis etapi (administraciuli<br />
marTvis optimizacia-aRsaniSnavia,<br />
rom am procecebSi<br />
aqtiuradaa CarTuli<br />
arasamTavrobo organizaciebi). A<br />
aqtiobis Seneleba ar iqneba,<br />
arc SeiZleba, dro ar iTmens;<br />
amdenad, aucilebelia ufro<br />
mWidro da meti urTierTTanamSromloba,<br />
rogorc jandacvis,sportis,<br />
ganaTlebisa da mecnierebis,<br />
aseve sxva saministroebTan, raTa<br />
bavSvTa mdgomareoba saqarTvelo-<br />
Si efeqturad gaumjobesdes.<br />
samedicino dargis profesionalebi<br />
valdebulni arian gan-<br />
2013 2013 2013 weli<br />
weli<br />
weli<br />
saqarTveloSiMmedicinis saqarTveloSiMmedicinis saqarTveloSiMmedicinis dargSi dargSi dargSi `varskvlavis”<br />
`varskvlavis”<br />
`varskvlavis”<br />
mimniWebeli mimniWebeli mimniWebeli komisia<br />
komisia<br />
komisia<br />
2013 welsMmedicinis dargSi `varskvlavi” mieniWa Rvawlmosil qirurgs, saqarTvelos saxelovnebo da<br />
humanitarul mecnierebaTa akademiis akademikos l. WaWiaSvils.<br />
saqarTveloSiMmedicinis dargSi `varskvlavis” mimniWebeli komisia.<br />
03.04.13. Tbilisi<br />
kidev erTxel vulocavT qarTul Rvawlmosil qirurgs am did aRiaremas da vusurvebT saqarTvelos<br />
jamrTelobis samsaxurSi arsebuli SemarTebiT kidev mravalwlian moRvaweobas.<br />
redaqcia<br />
sazRvron bavSvebis aRqmisa da gagebis<br />
unari, raTa maTi Sexedulebebi<br />
gaTvaliswinebuli iyos gadawyetilebis<br />
miRebisas da mkurnalobaze<br />
Tanxmobis gacxadebis<br />
dros. samedicino dargis profesionalebi<br />
unda TanamSromlobdnen<br />
rogorc bavSvebTan, aseve maT<br />
mSoblebTan da isini srulad unda<br />
iyvnen CarTulni SemoTavazebuli<br />
mkurnalobis da samedicino<br />
gadawyvetilebis miRebis procesSi.„bavSvis<br />
uflebaTa konvencia“<br />
ratificirebulia da Sesulia<br />
ZalaSi saqarTvelos mTavrobis<br />
mier 1994 wlis 2 <strong>ivniss</strong>.saqar-<br />
Tvelos kanonmdeblobaSi asaxulia<br />
bavSvis uflebebis dacvis meqanizmebi<br />
samedicino dawesebulebebSi,<br />
saqarTvelos kanonSi „pacientis<br />
uflebebis Sesaxeb“ Tavi VIII<br />
aregulirebs arasrulwlovanTa<br />
uflebebs samedicino momsaxurebis<br />
procesSi.<br />
saqarTvelo jer kidev erT-erT<br />
bolo adgilzea centraluri da<br />
aRmosavleT evropisa da dsT-s qveynebs<br />
Soris socialuri danaxarjebis<br />
mxriv. Sesabamisad, kvlav rCeba<br />
mniSvnelovani gamowvevebi, rac momdevno<br />
xuTi wlis ganmavlobaSi<br />
unda gadaiWras, Tu gvsurs, davicvaT<br />
bavSvis uflebaTa konvenciis<br />
debulebebi da 2015 wlamde mivaRwioT<br />
aTaswleulis ganviTarebis<br />
miznebsa da aTaswleulis deklaraciiT<br />
gaTvaliswinebul xedvebs.<br />
unda gavixseno Cvens mier Sesrulebuli<br />
proeqti da misi daskvnebi,romelic<br />
dResac ar kargavs<br />
aqtualobas:<br />
With the support of UNICEF(in 2001-<br />
2) we have fulfilled a project `Socialpsychological,<br />
medical-prophylactic and<br />
rehabilitation measures of children and<br />
adults in Penitentiary Institutions”, one of<br />
the main goals of which was the study<br />
of drug addiction and toxemia problems<br />
in above mentioned contingent.<br />
Data of clinical-laboratory and instrumental<br />
investigation in 417 children and<br />
adults have been analyzed. Questionnaire<br />
for Darvy and Bass aggression investigation,<br />
Shind test, Loosher colour<br />
test were used which permit to create a<br />
perfect `psychological portrait” of under<br />
age criminals with recommendations having<br />
proper practical significance. In future<br />
the latter will be a basis fo(r creation<br />
of behavioral prophylactic model having<br />
a harmful influence on the society and<br />
on themselves.<br />
Results of investigations carried out<br />
were analyzed by means of modern<br />
computer programs, involving psychological<br />
test-questionnaires and drawings<br />
in crayons.<br />
Analysis of data obtained has shown<br />
that:<br />
1. In children and adults of such category<br />
we deal with yet unformed person,<br />
subjected to definite changes.<br />
2. While considering obtained results<br />
the I, II and III necessary stages were<br />
outlined, where:<br />
The I stage stipulates pretrial period.<br />
The II stage stipulates measures to<br />
be taken during trial.<br />
The III stage – after being sentenced.<br />
Most children formally refuse the fact<br />
of smoking, hashish and glue tasting, but<br />
it is not true. The majority of them before<br />
the arrest used different toxic substances<br />
(glue, petroleum), which need a great<br />
attention at the I-II-III stages.<br />
Thus, investigations carried out have<br />
shown that there is a necessity of taking<br />
prophylactic measures against toxemia<br />
and drug addiction in children and adults<br />
in order to avoid formation of groups of<br />
persons committing a criminal offence.<br />
msoflios mraval qveyanaSi metad<br />
mniSvnelovani gaxda bavSvisa<br />
da ojaxis keTildReobisa da<br />
janmrTelobisTvis bavSvis uflebebis<br />
mxardaWera. siRaribis zrdam<br />
da garemo faqtorebma Secvala bav-<br />
SvTa avadobisa da sikvdilobis<br />
struqtura. globalizaciis procesma<br />
gansazRvra politikis wonasworoba,<br />
gadawyvetilebis traeqtoria<br />
adamianuri da sazogadoebriviganviTarebisaTvis.10,14,17socialuri<br />
xasiaTis<br />
cvlilebebi moiTxovs janmrTelobis<br />
konceftualizacias da axali<br />
gzebis Ziebas bavSvTa keTildReobis<br />
gasaumjobeseblad. saWiro<br />
xdeba bavSvTa jandacvis profesionalebis<br />
funqciebis radikaluri<br />
cvlilebebi, raTa maTi<br />
qmedeba iyos warmatebuli da Sesaferisi<br />
bavSvTa da ojaxTa ke-<br />
TildReobasa da janmrTelobas-<br />
Tan. 7,8,9,10,13 uflebebze dayrdnobili<br />
gancxadeba, romelic jandacvas<br />
miesadageba uzrunvelyofs<br />
iseT samuSao gegmas, realur strategiebsa<br />
da unars romelic SeiZleba<br />
gamoyenebuli iyos profesionalebis<br />
mier samedicino momsaxurebisa<br />
da bavSvTa dacvisaTvis.<br />
bavSvTa janmrTelobasTan dakav-<br />
Sirebuli uflebebi efuZneba oTx<br />
ZiriTad komponents, rogoricaa:sicocxle<br />
- bavSvebs aqvT sicocxlisa<br />
da gadarCenis ufleba, samedicino<br />
momsaxurebiT sargeblobis,<br />
wyliTa da sanitaruli sistemebiT<br />
usafrTxod sargeblobis<br />
ufleba;ganviTareba - bavSvebs aqvT<br />
ganaTlebis, individualuri ganviTarebis,<br />
gonebriv da fizikur<br />
SesaZleblobaTa gamovlenis ufleba;dacva<br />
– bavSvebs aqvT ufleba<br />
daculni iyvnen nebismieri diskriminaciisa<br />
da eqspluataciisagan,<br />
omisa da gaWirvebisagan;monawileoba<br />
- bavSvebs aqvT ufleba<br />
gaaCndeT sakuTari azri, Tavisuflad<br />
gamoxaton Tavisi Sexedulebebi,<br />
miiRon sasurveli <strong>info</strong>rmacia.„bavSvis<br />
uflebaTa konvencia“,<br />
awesebs ra saerTo standartebs<br />
msoflios yvela qveynisaTvis, amas-<br />
Tanave iTvaliswinebs saxelmwifo-<br />
TaTvis damaxasiaTebel kulturalur,<br />
socialur, ekonomikur da<br />
politikur realobebs, raTa Ti-<br />
Toeul qveyanas konvenciis debulebebis<br />
optimalurad ganxorcielebis<br />
SesaZlebloba hqondes.adamianis<br />
uflebebi janmrTelobis<br />
dacvis sferoSiadamianis uflebebi<br />
janmrTelobis dacvis sferoSi<br />
or ZiriTad kategoriad iyofa:<br />
socialuri uflebebi, romelic<br />
moicavs, samedicino momsaxurebis<br />
finansur da teritoriul<br />
xelmisawvdomobas, Tanabar xelmisawvdomobas<br />
diskriminaciis gare-<br />
g. CaxunaSvili<br />
saWiro codna da resursi TiToeuli bavSvis<br />
uflebis realizaciisaTvis<br />
(kanonebSi Sesworeba damatebebisaTvis)<br />
da marTlac,<br />
`Canasaxidan bavSvs ufleba aqvs iyos daculi~.<br />
Se da samedicino momsaxurebis<br />
xarisxs. es ukanaskneli gulisxmobs<br />
samedicino momsaxurebis<br />
adeqvatur xarisxs, (dignostikis,<br />
mkurnalobis, reabilitaciis me-<br />
Todebis adeqvaturobas) da pacientis<br />
usafrTxoebas. xolo individuri<br />
uflebebia: <strong>info</strong>rmaciis<br />
miRebis ufleba, <strong>info</strong>rmirebuli<br />
gadawyvetilebis miRebis ufleba<br />
(<strong>info</strong>rmirebuli Tanxmoba), konfidencialoba<br />
da piradi cxovrebis<br />
xelSeuxebloba, meore azris<br />
moZiebis da samedicino personalisa<br />
da samedicino dawesebulebis<br />
arCevis ufleba.<br />
iqedan gamomdinare, rom saqar-<br />
Tvelos bavSvebis erT meoTxedze<br />
meti siRaribeSi cxovrobs, socialuri<br />
dacvis sferoSi mimdinare<br />
reformebs gadamwyveti mniSvneloba<br />
eniWeba. magaliTad, aucilebelia<br />
Tanasworobaze orientirebuli<br />
skolamdeli ganaTlebis<br />
sfero, radgan uRaribes ojaxebSi<br />
mcxovrebi xuTi wlis asakis bav-<br />
Svebi dRes naklebi albaTobiT<br />
dadian skolamdeli ganaTlebis<br />
dawesebulebebSi, vidre maTi Tanatolebi<br />
SeZlebuli ojaxebidan.<br />
mozardebSi jansaRi cxovrebis<br />
stilis damkvidreba, sportis, jansaRi<br />
kvebisa da gunduri muSaobis<br />
Rirebulebebis popularizaciis<br />
gziT?<br />
janmrTelobis dacvis sfero-<br />
Si saqarTvelos kanonmdeblobas<br />
safuZvlad udevs saerTaSoriso<br />
dokumentebi. saxelmwifo politikis<br />
principad aris gacxadebuli<br />
adamianis uflebaTa da TavisuflebaTa<br />
xelSeuvaloba (saqar-<br />
Tvelos kanoni „janmrTelobis<br />
dacvis Sesaxeb“, muxli 4), rasac<br />
Tanabari pasuxismgeblobiT unda<br />
icavdes eqimi, eqTani da sxva samedicino<br />
personali. samedicino saqmianobis<br />
mizania adamianisaTvis<br />
janmrTelobis SenarCuneba, misi<br />
janmrTelobis dacva da aRdgena,<br />
misTvis tanjvis Semsubuqeba (saqarTvelos<br />
kanoni „janmrTelobis<br />
dacvis Sesaxeb“, muxli 27).<br />
skolamdeli aRzrdis ganaTlebaze.<br />
saerTaSoriso kvlevebiT<br />
dasturdeba, rom bavSvebi, romlebic<br />
CarTulebi arian skolamdeli<br />
ganaTlebis sistemaSi, ufro<br />
karg akademiur moswrebas avlenen<br />
skolaSi, anu ukeTesad swavloben,<br />
im bavSvebTan SedarebiT,<br />
romlebsac ar miuRiaT skolamdeli<br />
ganaTleba. Tu Cven gvinda,<br />
rom saSualo ganaTlebis xarisxi<br />
gavaumjobesoT, investicia skolamdel<br />
ganaTlebaSi unda CavdoT,<br />
raTa uzrunvelvyoT bavSvebis<br />
swavla sabavSvo baRebSi _<br />
skolamdeli aRzrdis dawesebulebebSi.<br />
erT-erTi mniSvnelovani rekomendacia<br />
swored skolamdel ganaTlebas<br />
exeba — visurvebdiT,<br />
2015 wlisTvis, saqarTveloSi, bav-<br />
Svebis 80% iyos CarTuli skolamdeli<br />
aRzrdis dawesebulebebSi.<br />
merwmuneT, es iqneba yvelaze<br />
kargi investicia, romelsac<br />
qveyana ganaxorcielebs. amdenad,<br />
saWoro da aucilebelia ufro<br />
mWidro da meti TanamSromloba<br />
rogorc jandacvis,sportis, ganaTlebisa<br />
da mecnierebis, aseve<br />
sxva saministroebTan, raTa bavSvTa<br />
mdgomareoba saqarTveloSi<br />
efeqturad gaumjobesdes. moiZebneba<br />
saWiro codna da resursi<br />
TiToeuli bavSvis uflebis realizaciisaTvis.<br />
bavSvTa uflebebi<br />
uzrunvelyofs bavSvebis sicocxlis<br />
SenarCunebas, maT ganviTarebasa<br />
da keTildReobas. amis<br />
gareSe SeuZlebelia iseTi qveynis<br />
mSenebloba, romelic aTaswleulis<br />
deklaraciiTaa gaTvaliswinebuli<br />
— qveynisa, sadac<br />
sufevs mSvidoba, Tanasworoba,<br />
usafrTxoeba, daculi garemo, mokled<br />
— bavSvebisadmi keTilganwyobili<br />
saqarTvelo.<br />
aqedan gamomdinare aucilebaa<br />
bavSvTa uflebebis dacvis<br />
kuTxiT arsebul kanonebSi moxdes<br />
Sesworeba damatebani an moxdes<br />
axali interpretaciiT:<br />
kanoni – `Canasaxidan<br />
bavSvs ufleba aqvs iyos<br />
daculi”<br />
kanoni – `Seiqmnas medicinis,<br />
sportisa da ganaTlebis erTiani<br />
mecnieruli marTvis erovnuli<br />
koncefcia - janmrTel Taobebze<br />
zrunva~<br />
kanoni – `skolebSi da bagabaRebSi<br />
saeqimo saqmianobis amoqmedeba<br />
- maTi aucilebloba saganmanaTleblo<br />
da skolamdeli dawesebulebebis<br />
serTificirebisas”.<br />
kanoni - `valeologia (sanologia-samedicino<br />
mimarTuleba),<br />
rogorc axali disci plinaTa-<br />
Soriso samecniero-pedagogiuri<br />
mimarTuleba”.<br />
eTxovos:<br />
- jandacvis saministros:<br />
saeqimo kabinetis struqturis<br />
gansazRvra<br />
gzamkvlevTa Seqmna<br />
specialistTa gadamzadebisa<br />
da momzadebis uSualo Sesruleba<br />
(arasamTavrobo organizaciebTan<br />
erTad)<br />
saeqimo saqmianobis monitoringi<br />
- sportis saministros:<br />
specialistebis moTxovnis<br />
gansazRvra<br />
sportis eqimebis<br />
fizioTerapevtebis<br />
meTodistebis da a.S.<br />
-ganaTlebis saministros:<br />
specialistTa gadamzadebisa<br />
da momzadebis uSualo strategiis<br />
Seqmna.<br />
skolebsa da baga-baRebSi<br />
saeqimo saqmianobis aRdgena.<br />
eTxovos saqarTvelos parlamentis<br />
Sesabamis komitetebsa da<br />
aRmasrulebel organoebs proeqtSi<br />
erToblivi Cabmis aucileblobiT<br />
gamowveuli erTiani mmar-<br />
TvelobiTi sainiciativo jgufis<br />
Seqmna, romelic bolomde miiyvans<br />
rTulad Sesasrulebel saorganizacio<br />
saqmianobas<br />
Semdegi etapia:<br />
1. proeqtSi erToblivi Cabmis<br />
aucileblobiT gamowveuli er-<br />
Tiani mmarTvelobiTi sainiciativo<br />
jgufis Seqmna, romelic<br />
ganaxorcielebs da uzrunvelyofs<br />
Zalzed rTulad warsamarT<br />
saorganizacio saqmianobas<br />
2. strategiis gansaxorcielebeli<br />
programebis Seqmna, ganxilva<br />
da umokles vadaSi maTi<br />
Sesruleba
saqarTvelos mean-ginekologTa<br />
da perinatologTa<br />
asociaciis prezidentis profesor<br />
paliko kintraias<br />
cxovrebis gza<br />
daibada 1933 wlis 8 dekembers<br />
q. TbilisSi<br />
1958 wels daamTavra Tbilisis<br />
saxelmwifo samedicino<br />
institutis samkurnalo<br />
fakulteti warCinebiT.<br />
1958-61 ww. muSaobda TianeTis<br />
raisaavadmyofos sameano<br />
ganyofilebis gamged.<br />
1961-63 ww. Ggaiara klinikuri<br />
ordinaturis kursi Tbilisis<br />
sax. samedicino akademiis<br />
meanoba-ginekologiis ka-<br />
Tedraze.<br />
1963-66 ww. muSaobda marneulis<br />
samSobiaro saxlis<br />
mTavar eqimad.<br />
1964 wels daicva sakandidato<br />
disertacia Temaze:,,nayofis<br />
eleqtrokardiogramis<br />
cvlilebebi vakuumeqstraqtorisa<br />
da sameano maSebis gamoyenebiT”.<br />
1971 wels – sadoqtoro<br />
disertacia,,nayofis Tavis<br />
tvinis hipoTermia mSobiarobis<br />
dros”.<br />
1966-2006 wlidan muSaobda<br />
Tbilisis eqimTa diplomisSemdgomi<br />
momzadebis akademiis<br />
meanoba-ginekologiis<br />
baton paliko kintraias<br />
redaqcia guliTadad ulocavs<br />
dabadebis dRes<br />
kaTedraze asistentad, profesorad,<br />
kaTedris gamged.<br />
1980-2002 wlidan - k.v.CaCavas<br />
saxelobis perinataluri<br />
medicinisa da meanoba-ginekologiis<br />
samecniero kvleviTi<br />
institutis direqtorad,<br />
2002 wlidan dRemde institutis<br />
sameTalyureo sabWos<br />
Tavmjdomared.<br />
1977-86 wlebSi da 1997-2005<br />
ww. saqarTvelos Sromis, janmrTelobisa<br />
da socialuri<br />
dacvis saministros mTavar<br />
mean-ginekologad.<br />
1997-2003 wlidan Tbilisis<br />
sax. samedicino universitetis<br />
samecniero xarisxebis<br />
mimniWebeli saatestacio sab-<br />
Wos Tavmjdomare meanoba-ginekologiaSi.<br />
1998-2005 w.w. saqarTvelos<br />
Sromis, janmrTelobisa da<br />
socialuri dacvis saministros<br />
eqimTa saserTifikaciosaatestacio<br />
komisiis Tavmjdomaremeanoba-ginekologiaSi.<br />
aris saqarTvelos samedicino<br />
akademiis erT-erTi damfuZnebeeli<br />
da misi namdvili<br />
wevri.<br />
1983 wels mieniWa saqarTvelos<br />
mecnierebis damsaxurebuli<br />
moRvawis wodeba, 1985<br />
wels saqarTvelos saxelmwifo<br />
premia sameano-ginekologiuri<br />
sefsisis sakiTxebisadmi<br />
miZRvnili samecniero<br />
SromebisaTvis.<br />
1998 wels dajildoebulia<br />
Rirsebis ordeniT.<br />
1998 wels arCeulia ungreTis<br />
mean-ginekologTa samecniero<br />
sazogadoebis wevrad,<br />
1988w. evropis mean-ginekologTa<br />
asociaciis wevrad,<br />
1988w. amerikis mean-ginekologTa<br />
kolejis sazRvargareTel<br />
wevrad. arCeulia ramdenime<br />
saerTaSoriso Jurnalis<br />
sabWos wevrad.<br />
2002 wels – ruseTis federaciis<br />
sabunebismetyvelo<br />
mecnierebaTa akademiis ucxoel<br />
wevrad<br />
sxvadasxva dros p. kintraia<br />
iyo sabWoTa kavSiris<br />
mean-ginekologTa sazogadoebis<br />
prezidiumis wevri, ssrk<br />
jandacvis saministros saeqsperto<br />
sabWos wevri meanoba-ginekologiaSi.<br />
ssrk medicinis<br />
mecnierebaTa akademiis<br />
saproblemo komisiis wevri<br />
da sxva.<br />
samecniero kvlevis Ziri-<br />
Tadi problemebia fizikuri<br />
da eleqtrofiziologiuri<br />
meTodebis gamoyeneba meanobasa<br />
da ginekologiaSi diagnostikisa<br />
da mkurnalobis<br />
mizniT. Nnayofisa da axal-<br />
Sobilis daavadebaTa paTogenezis<br />
Seswavla. Nnayofisa<br />
da axalSobilis adaptaciis<br />
centraluri saregulacio meqanizmebis<br />
Seswavla. Nnayofi<br />
da tkivilis problema, garemo<br />
faqtorebis gavlena orsulobis<br />
mimdinareobaze da<br />
nayofis ganviTarebaze, stresi<br />
da orsuloba.<br />
mis mier TanaavtorebTan<br />
erTad pirvelad SemuSavebul<br />
iqna mSobiarobis dros nayofis<br />
pirdapiri eleqtro-kardiografiis<br />
meTodi (1961 w.)<br />
da nayofisa da axalSobilis<br />
kraniocerebraluri hipoTermiis<br />
meTodi (1968 w.), SemuSavebul<br />
iqna (1961-70ww) mSobiarobis<br />
dros nayofis funqciuri<br />
mdgomareobis Sefasebis<br />
eleqtrofiziologiuri kriteriumebi,<br />
dadgenil iqna, rom<br />
mSobiarobis dros nayofs gaaCnia<br />
tkivilis SegrZnebis avtonomiuri<br />
regulaciis unari<br />
da SemoRebul iqna nayofis<br />
autohibernaciis mcneba.<br />
TanaavtorebTan erTad<br />
dadgenil iqna nayofis Zil-<br />
RviZilis bioriTmebis arseboba<br />
da masTan dakavSirebuli<br />
nayofis gulis moqmedebis<br />
Taviseburebani (1981 w),<br />
pirvelad Seiqmna nayofis Tavis<br />
tvinis peptiduri ruqa,<br />
identificirebul iqna 15 neiro<br />
peptidi da daginda, rom<br />
antenataluri periodis dasasruls<br />
nayofis Tavis tvinis<br />
peptiderguli sistema imyofeba<br />
funqciuri aqtivobis<br />
mdgomareobaSi, rac uzrunvelyofs<br />
nayofis Seguebas<br />
axal pirobebTan. Aaseve pirvelad<br />
TanaavtorebTan erTad<br />
Seswavlil iqna nayofis neiropeptidebis<br />
roli samSobiaro<br />
moqmedebis aRZvraSi da<br />
regulaciaSi.<br />
gamoqveynebuli aqvs 200mde<br />
samecniero Sroma. maT<br />
Soris 14 gamogoneba. misi<br />
xelmZRvanelobiT Sesrulebulia<br />
da daculia 40 sakandidato<br />
da 12 sadoqtoro disertacia.<br />
1980 wlidan p. kintraia<br />
aris saqarTvelos mean-ginekologTa<br />
sazogadoebis (xolo<br />
Semdgom mean-ginekolog-<br />
Ta da perinatologTa asociaciis)<br />
ucvleli xelmZRvaneli.<br />
misi xelmZRvanelobiT<br />
rogorc ginekologiis samecniero<br />
kvleviTma institutma,<br />
aseve mean-ginekologTa sazogadoebam<br />
moipova didi saer-<br />
5<br />
Rirseuli 80 weli<br />
TaSoriso aRiareba. p. kintraias<br />
xelmZRvanelobiT instituts<br />
da asociacias hqonda<br />
grZelvadiani saerTaSoriso<br />
xelSekruleba iaponiis<br />
tokios universitetis, inglisis<br />
souTemptonis universitetis,<br />
germaniis haidelbergis<br />
universitetis, budapeStis<br />
eqimTa daxelovnebis institutismeanoba-ginekologiis<br />
kaTedrebTan. am xelSekrulebis<br />
farglebSi erToblivad<br />
Sesrulebuli Sromebis<br />
Sedegebi ixileboda Semajamebel<br />
saerTaSoriso konferenciebze.<br />
1980-2003 wleb-<br />
Si Catarebulia 23 aseTi konferencia<br />
da gamocemulia 23<br />
SomaTa krebuli saqarTvelo-<br />
Si, ungreTSi da iaponiaSi.<br />
aseve nayofieria p. kintraias<br />
xangrZlivi muSaoba saqarTvelos<br />
jandacvis saministros<br />
mTavar mean-ginekologad.<br />
sakmarisia aRiniSnos,<br />
rom maSin rodesac saqarTveloSi<br />
weliwasSi 150 000 bav-<br />
Svi ibadeboda, dedaTa sikvdiloba<br />
3.5 jer Semcirda da<br />
es iyo mTel sabWoTa kavSir-<br />
Si samagaliTo maCvenebeli.<br />
aseve didia p.kintraias damsaxureba<br />
saqarTveloSi mean-ginekologTa<br />
rogorc samecniero,<br />
aseve praqtikos eqim-<br />
Ta momzadebaSi da dRes saqarTvelos<br />
yvela kuTxeSi mis<br />
mier aRzrdili mean-ginekologebi<br />
uZRvebian am urTules<br />
saqmes.<br />
samecniero problema, romelzec<br />
muSaobs profesori<br />
p. Kkintraia da misi xelmZRvanelobiT<br />
perinataluri medicinisa<br />
da meanoba-ginekologiis<br />
instituti aris:<br />
1. stresi da orsuloba:<br />
2. orsulobis dromdemiutanlobis<br />
paTogenezi da pa-<br />
Togenezuri mkurnalobis me-<br />
Todebis SemuSaveba.
6<br />
daibada 1949 wels Tbilis-<br />
Si. daamTavra Tbilisis I skola,<br />
saqarTvelos politeqnikuri<br />
institutis sainJinro-fizikuri<br />
fakulteti, moskovis ucxo<br />
enaTa institutis inglisuri<br />
enis fakulteti, moskovis<br />
institut “giredmetis” aspirantura<br />
da sxva.<br />
moRvaweobda ssrk saSualo<br />
manqanaTmSeneblobis saministros<br />
(ssrk atomuri energiis<br />
saxelmwifo komiteti) sxvadasxva<br />
samecniero-teqnologiur<br />
centrebSi: soxumis fizika-teqnikuri<br />
instituti; stabiluri<br />
izotopebis instituti; instituti<br />
“giredmeti”; i. kurCatovis<br />
atomuri energiis instituti,<br />
sadac xelmZRvanelobda<br />
samecniero da samrewvelo-teqnologiur<br />
Temebs, proeqtebsa<br />
da saxelmwifo programebs.<br />
Cvens qveyanaSi bolo ramdenime TveSi<br />
ganviTarebulma movlenebma kidev ufro<br />
mkveTrad daanaxa saqarTvelos mosaxleobas,<br />
rom qveynis marTvasa da ganviTarebaSi<br />
arsebobs seriozuli problemebi,<br />
romelTa gadawveta moiTxovs arsebuli<br />
inteleqtualuri resursis srul gamoyenebas.<br />
gamoikveTa Cveni qveynis ganviTarebis<br />
saWirboroto sakiTxebis Rrma strategiuli<br />
damuSavebisa da maTi cxovreba-<br />
Si gatarebis taqtikuri problemebisa da<br />
teqnologiuri meTodebis swori da drouli<br />
warmarTvis aucilebloba. sazRvargareTuli<br />
da Cveni gamocdilebac gvkarnaxobs,<br />
rom albaT erTaderTi marTebuli<br />
gamosavali arsebuli mdgomareobidan<br />
moqmedebebis swori prioritetebisa<br />
da kargi gegmebis arsebobaa.<br />
saqarTvelos miznebidan gamomdinare<br />
qveynis strategiul amocanas inovaciuri<br />
da codnaze dafuZnebli ekonomikis<br />
ganviTareba warmoadgens. Tavis<br />
mxriv nebismieri mimarTulebis<br />
sainovacio saqmianoba emyareba<br />
mecnierebis, teqnologiebisa da<br />
mrewvelobis winmswreb ganviTarebasa<br />
da miRebuli Sedegebis<br />
farTo gamoyenebas cxovrebis yvela<br />
sferoSi.<br />
codnaze damyarebuli ekonomikuri<br />
winsvlis erT-erT mTavari<br />
amZravi mosaxleobis maRalteqnologiur<br />
biznesSi aqtiuri<br />
CarTvaa. gansakuTrebiT ki ma-<br />
Ralteqnologiuri mcire da sa-<br />
Sualo zomis sawarmoebis saqmianobaSi.<br />
amas Zalian daexmareba:<br />
samecniero-kvleviTi da sawarmoo<br />
organizaciebis erToblivi<br />
saqmianoba; saxelmwifo dawesebulebebis<br />
mier sainovacio<br />
saqmianobis aqtiuri danergva Tavisi<br />
moRvaweobis yvela mimar-<br />
TulebiT da am saqmianobis daxmarebis<br />
saxelmwifo sistemis<br />
Seqmna; sainovacio teqnologiebis saer-<br />
TaSoriso, integrirebuli marTvis sitemis<br />
Camoyalibeba da danergva.<br />
nebismieri marTvis saTaveSi yovelTvis<br />
Zevs erTi mTavari sakiTxi – ra aris<br />
subeqtis mizani, risken miiswrafvis igi?<br />
dadgenilia, rom miznis (miznebis) formulirebis<br />
procesi win uswrebs marTvis<br />
proceduras da amitomac didad gansazRvravs<br />
mas.<br />
magaliTad, Tu Cven mTavarsa da erTaderT<br />
mizans tranzitul-turistuli<br />
qveynis Seqmna warmoadgens, maSin marTvis<br />
obieqtad iseTi tipis xelisufleba<br />
unda warmovidginoT, romelic ZiriTadad<br />
Seqmnis aseTi amocanis gadawyvetisaTvis<br />
aucilebel marTvis struqturebs.<br />
xolo Tu Cven mTavari mizani maRalteqnologiuri,<br />
inteleqtualuri saxelmwifos<br />
Seqmnaa, maSin marTvis obieqtis ganviTarebis<br />
maregulirebeli parametrebis<br />
ricxvi izrdeba da amasTan erTad icvleba<br />
qmedebebis mimarTulebebi. sxvanairad,<br />
Tu mxolod tranzituli amocane-<br />
1984-wlidan igi saqareTvelos<br />
teqnikuri universitetis<br />
profesoria, xolo 2000 wlidan<br />
Tbilisis saxelmwifo universitetis<br />
mowveuli profesori.<br />
1989 wlidan profesorisa da<br />
samcniero proeqtebisa da programebis<br />
xelmZRvanelis rangSi<br />
igi moRvaweobda ssrk-s, evropisa<br />
da aSS-s universitetebsa<br />
da samecniero centrebSi.<br />
1979 wels mas institut giredmetSi<br />
mieniWa teqnikur mecnierebaTa<br />
kandidatis, xolo<br />
1985 wels i. kurCatovis atomuri<br />
energiis institutSi fizika-maTematikis<br />
mecnierebaTa<br />
doqtoris xarisxebi. 1981 wels<br />
p. kervaliSvils mieniWa ufrosi<br />
mecnieri muSakis, 1989<br />
wels ki profesoris samecniero<br />
wodebebi.<br />
prof. kervaliSvili 350-mde<br />
samecniero statiis, wignis, gamogonebis,<br />
moxsenebis avtoria.<br />
misi Sromebi dastambulia msoflios<br />
mowinave gamocemebSi. rigi<br />
misi gamogonebebisa danergilia<br />
sxvadasxva warmoebaSi.<br />
p. kervaliSvili ramdenime<br />
ssrk da saerTaSoriso prestiJuli<br />
premiisa da jildos<br />
mflobelia. igi aris saqarT-<br />
paata paata kervaliSvili<br />
kervaliSvili<br />
biografiuli cnoba<br />
bis gadawyvetisaTvis saWiroa garkveuli<br />
ti pis energetikul-satransportotelesakomunikacio<br />
infrastruqtura,<br />
TviTkmari qveynisaTvis cota ufro sxva<br />
energetika, transporti da kavSirgabmuloba<br />
gamogvadgeba. yvelaferi es Tavidanve<br />
unda iyos gaTvaliswinebuli sam-<br />
Tavrobo da sxva saxelmwifo marTvis<br />
struqturebis Seqmnis dros.<br />
aseve unda iyos dalagebuli ganaTlebis<br />
prioritetuli amocanebic. magali-<br />
Tad,Ywrfivi kavSirebi: ganaTleba-mecniereba-industria;ganaTleba-mecniereba-janmrTelobis<br />
dacva; ganaTleba-mecnierebaxelovneba<br />
da sxva.<br />
aq gansakuTrebiT unda aRiniSnos is<br />
garemoeba, rom Tu zogad-politikuri sis-<br />
temebis funqcionirebis elementebi Cven-<br />
Si garkveulad cnobilia, saxelmwifoebrivi<br />
marTvis iseTi mniSvnelovani<br />
blokis, rogoricaa sameurneo-ekonomikuri<br />
politikis gamtarebeli saregulacio<br />
samsaxurebis saqmianobis gaZRola,<br />
maTi moqmedebis principebis Camoyalibeba<br />
da danergva sawyis stadiaSi imyofeba.<br />
saxelmwifo marTvaSi centraluri<br />
funqcia mis mTavrobas miuZRvis. TviT<br />
sruliad Tavisufali sabazro ekonomikis<br />
pirobebSic ki ekonomikuri organizmi<br />
saWiroebs marTvasa da kontrols,<br />
rasakvirvelia marTvis ierarqiuli mdgenelis<br />
seriozuli SemcirebiT. es ki niSnavs,<br />
rom mTavroba sxvadasxva Tavisuflebis<br />
xarisxis mqone sistemebSi ubralod<br />
sxvadasxvanairad unda atarebdes<br />
sameurneo marTvis politikas – ufro<br />
zogadad, an ufro konkretulad.<br />
am da sxva mniSvnelovani parametrebis<br />
gaTvaliswinebiT marTvis samTavrobo rgoli<br />
Tanamedrove msoflio ganviTarebis<br />
etapze unda iyos Zalzed operabeluri<br />
velos sainJinro, ekologiuri<br />
da sabunebismetyvelo mecnierebebis<br />
akademiebis, niuiorkis<br />
mecnierebaTa akademiis,<br />
ruseTis sabunebismetyvelo<br />
mecnierebaTa akademiis wevri<br />
da sxva.<br />
sxvadasxva dros igi iyo ruseTis<br />
atomuri energiis saministros,<br />
i. kurCatovis institutis,<br />
ssrk mecnierebaTa akademiis, natos<br />
samecniero-teqnologiuri<br />
sabWoebis wevri, ramdenime evropuli<br />
organizaciis wevri da<br />
eqsperti da mravali sxva. amJamad<br />
prof. kervaliSvili aris<br />
evroxmelTaSuazRvis xelovnebisa<br />
da mecnierebi akademiis prezidenti,<br />
saqarTvelos sabunebismetyvelo<br />
mecnierebaTa akademiis<br />
prezidenti, evrokomisiis,<br />
iuneskosa da sxva saerTaSoriso<br />
organizaciebis saeqsperto<br />
sabWoebis wevri.<br />
misi xelmZRvanelobiT daculia<br />
ramdenime aTeuli samagistro,<br />
sakandidato da sadoqtoro<br />
disertacia, ganxorcielebulia<br />
saerTaSoriso<br />
proeqtebi da programebi, (maT<br />
Soris aSS-s, natos, evrokav-<br />
Siris da sxva organizaciebis<br />
50-de proeqti).<br />
anu moqnili, sakmaod mcire, advilad gadawyobadi.<br />
aseTi varianti sapirispiroa<br />
ierarqiul principebze awyobili samTavrobo<br />
struqturebisa (sabWoTa kavSiri,<br />
sxva socialisturi qveynebi, gansakuTrebiT<br />
diqtatoruli reJimebi).<br />
rogorc ukanaskneli wlebis msoflio<br />
gamocdilebam calsaxad daadastura<br />
qveynis Tanamedrove efeqturi saxelmwifoebrivi<br />
marTvis gansaxorcieleblad<br />
aucilebel pirobas sa<strong>info</strong>rmacio – sakomunikacio<br />
teqnologiebis winmswrebi<br />
ganviTareba warmoadgens. iseve rogorc,<br />
am da sxva e. w. cifruli ekonomikis<br />
sabazo teqnologiebis gansaviTareblad<br />
saWiroa saxelmwifoSi samTavrobo mar-<br />
Tvis efeqturi teqnologia arsebobdes.<br />
unda aRiniSnos, rom satelekomunikacio<br />
da sa<strong>info</strong>rmacio<br />
teqnikuri saSualebebisa da ma-<br />
Ti programuli uzrunvelyofis<br />
metad swrafi winsvla ganapirobebs<br />
iseTi eleqtronuli<br />
infrastruqturis arsebobas,<br />
romelic revoluciurad<br />
gardaqmnis adamianis saqmianobis<br />
yvela mimarTulebis funqcionirebis<br />
wesebsa da teqnologiebs<br />
da gansazRvravs gundur-inteleqtualurisaqmianobis<br />
efeqturobis mkveTr zrdas.<br />
cifruli ekonomikis ganvi-<br />
Tareba emyareba ra sa<strong>info</strong>rmacio<br />
da sakomunikacio teqnologiasa<br />
da teqnikas Tavis mxriv<br />
safuZvelia e.w. sa<strong>info</strong>rmacio sazogadoebis<br />
(yovelmxriv <strong>info</strong>rmirebuli<br />
sazogadoebis) warmoqmnisa,<br />
romelic aucilebeli pirobaa,<br />
rogorc demokratiuli,<br />
samoqalaqo sazogadoebis Camoyalibebis,<br />
iseve misi mdgradi ganviTarebis da stabiluri<br />
funqcionirebis.<br />
axali, codnaze dafuZnebuli ekonomikis<br />
ganviTarebam ganapiroba Tanamedrove<br />
efeqturi samTavrobo struqturebis<br />
warmoSoba, romelTa marTva aseve eyrdnoba<br />
eleqtronuli komunikaciis Tanamedrove<br />
teqnologiur saSualebebs, rac<br />
uzrunvelyos qveynis, regionaluri da<br />
munici paluri mTavrobebis mWidro TanamSromlobas<br />
sazogadoebriv, kerZo da<br />
arasamTavrobo organizaciebTan, da rac<br />
mTavaria, sazogadoebis yvela didsa Tu<br />
patara jgufTan.<br />
saqarTveloSic uaxloes momaval-<br />
SiPpirvel prioritetad sa<strong>info</strong>rmacio<br />
da sakomunikacio teqnologiebis Seqmna-ganviTareba<br />
rCeba. Semdeg modis: eleqtroenergiis<br />
warmoeba da distribucia,<br />
umaRlesi xarisxis da ekologiurad suf-<br />
Ta kvebis produqtebis warmoeba, mecnierebatevadi<br />
da maRalteqnologiuri produqciis<br />
Seqmna da maTi mcireseriuli<br />
industria; Tanamedrove mrewveloba sa-<br />
PAATA KERVALISHVILI<br />
BIOGRAPHICAL INFORMATION<br />
Professor, Doctor of Sciences<br />
and Dr.-Eng. Paata J.<br />
Kervalishvili (born - 1949) is full<br />
Professor at department of Physics<br />
within Georgian Technical University,<br />
as well as Professor of faculty<br />
of exact and natural sciences<br />
of Tbilisi State University.<br />
From 1970 until 1992 Prof.<br />
Kervalishvili was researcher and<br />
Director in different research and<br />
technology centers within the<br />
Middle Machinery Ministry (State<br />
Committee for Atomic Energy) of<br />
former USSR main body of the<br />
Soviet atomic energy and weapon<br />
industry. In 1994 ? 1999, after one<br />
year in Parliament of Georgia he<br />
worked in government of Georgia<br />
as one of the leaders of the State<br />
Committee for Science and Technology<br />
and Ministry of Economy<br />
of Georgia.<br />
A condensed matter physicist<br />
with Technical University Diploma,<br />
Dr. Kervalishvili has served<br />
in several directions of physics and<br />
technology such as: condensed<br />
matter, molecular and quantum<br />
physics, nuclear and laser technologies,<br />
novel materials, sensory<br />
systems, energy and <strong>info</strong>rmation<br />
technologies. He is author of more<br />
then 350 scientific publications,<br />
books, manuals, and inventions.<br />
Prof. Kervalishvili is a member<br />
of more then 10 top level academies<br />
and research councils and<br />
among them: full member of<br />
American, European, Russian<br />
and Georgian scientific academies,<br />
Georgian Engineering<br />
academy and other distinguish organizations.<br />
Currently he is the<br />
President of Georgian Academy of<br />
Natural Sciences and President of<br />
Euro Mediterranean Academy of<br />
Arts and Sciences.<br />
More then 20 prestigious prizes<br />
and state orders award Dr.<br />
Kervalishvili.<br />
As a Director and coordinator<br />
of several World Bank, EU, ISTC,<br />
etc. projects and Chairman of International<br />
Forums and Conferences,<br />
as well as Professor of some<br />
well known European and American<br />
Universities he has the wide<br />
international experience.<br />
P. Kervalishvili received his<br />
B.S. and M.S. in solid state physics<br />
from Georgian Technical University.<br />
The Research and technological<br />
Centre ?Institute Giredmet?<br />
awarded him the title of Ph. D.,<br />
and Dr.-Eng. in 1978, and Soviet<br />
atomic centre ?Kurchatov Institute?<br />
? degree of Doctor of physics and<br />
mathematics (1984). He got USSR<br />
Professor State title in 1989.<br />
saqarTvelo:: ganviTarebis gzebi<br />
mamulo mineraluri resursebis bazaze<br />
da sxva. rasakvirvelia, amasTan erTad da<br />
winmswrebi tempebiT unda Seiqmnas mdgradi<br />
da efeqturad moqmedi infrastuqtura:<br />
energetika – transporti – kavSirgabmuloba<br />
da aseve mSeneblobis Tanamedrove<br />
industria, rac Cveni qveynis<br />
mowinave, ekonomikurad damoukidebel, inteleqtualur-teqnologiursaxelmwifod<br />
Camoyalibebis mTavari garantia unda<br />
gaxdes.<br />
aRiniSnos, rom ukanasknel wlebSi saqarTvlos<br />
xelisuflebis<br />
mier energiulad xorcieldeba reforma<br />
mecnierebisa da teqnologiebis<br />
politikisa da marTvis mimarTulebiT,<br />
romelic miuxedavad mravali xarvezisa<br />
mTlianobaSi dadebiTad unda Sefasdes.<br />
gadadgmulia garkveuli nabijebi qar-<br />
Tuli mecnierebisa da teqnikis integraciis<br />
gansasaxorcieleblad evropulsa,<br />
da saerTod, dasavlur sivrceSi.<br />
amasTan erTad, mecnierebisa da mrewvelobis<br />
saerTaSoriso integraciaze<br />
orientireuli aucilebeli reformebi<br />
xSirad tardeba zedapirulad, rac iwvevs<br />
did kargvebs samecniero-teqnologiuri<br />
da inovaciuri saqmianobis yvela<br />
sferoSi. Aar aris gamokveTili prioritetebi<br />
mecnierebaSi, teqnologiur ganviTarebaSi,<br />
umaRles ganaTlebaSi. ar arsebobs<br />
sistemuri inovaciuri politika.<br />
arc mecnierebaSi, arc teqnikaSi da<br />
arc mrewvelobaSi ar aris Camoyalibebuli<br />
strategiuli gegmebi regionaluri<br />
da saerTaSoriso mimarTebiT. es problemebi<br />
Zalian swrafad unda aRmoifxvras,<br />
risi miRwevac SesaZlebelia qarTveli<br />
mecnierebisa da mecnier-organizatorebis<br />
aqtiuri CarTviT qveynis marTvis<br />
procesebSi, gansakuTrebiT ki gadawyvetilebaTa<br />
damuSavebisa da miRebis sakiTxebSi.<br />
saqarTvelos sabunebismetyvelo mecnierebaTa<br />
akademia, romelic amJamad aer-<br />
Tianebs 60-mde msoflioSi cnobil mecniers<br />
maTematikis, fizikis, qimiis, <strong>info</strong>rmatikis,<br />
geologiis da sxva disciplinebSi<br />
gamoTqvams mzadyofnas mTeli Tavisi<br />
codna da gamocdileba moaxmaros<br />
Tanamedrove qarTuli saxelmwifos Camoyalibebas<br />
da misi mdgradi ganviTarebis<br />
strategiuli da taqtikuri gegmebis<br />
Seqmnasa da ganxorcielebas.<br />
gvinda gamovxatoT Cveni Rrma rwmena<br />
imisa, rom:<br />
XXI saukuneSi saqarTvelo gaxdeba<br />
sainovacio saqmianobis qveyana – qarTveli<br />
eri ki Tavisi adamianuri resursebiT<br />
erT-erTi sarTaSoriso lideri mecnierebisa<br />
da teqnologiebis da Sesabamisad<br />
codnaze dafuZnebuli sazogadoebis<br />
ganviTarebaSi.<br />
paata kervaliSvili<br />
Tbilisi, 2013 wlis ianvari
evromecnierebis evromecnierebis saqarTvelos<br />
saqarTvelos<br />
erovnuli erovnuli seqciis<br />
seqciis axalgazrdul<br />
axalgazrdul<br />
departaments departaments didi didi pasuxismgebloba<br />
pasuxismgebloba<br />
2012 wlis 21-22 dekembers, konferenciisas gaimarTa vromecnierebis<br />
saqarTvelos erovnuli seqciis morigi sxdoma..<br />
bolos miRebuli iqna rezolucia:<br />
evromecnierebis saqarTvelos erovnuli seqciis 2012-2016 wlebis<br />
strategiuli gegma gadiodes masSi axalgazrdobis mecnierebaSi Car-<br />
Tvis mkveTri matebisaken da daevalos evromecnierebis saqarTvelos<br />
erovnuli seqciis axalgazrdul departments maszed metad ganaxorcielos<br />
aqtiuri muSaoba SemuSavebuli grZelvadiani gegmis mixedviT.<br />
da miRebul gadawyvetilebebSi,kerZod<br />
&2. evromecnierebis saqarTvelos erovnulma seqciam yvela Rone<br />
ixmaros, acnobos samTavrobo struqturebs da gaagrZelos Tavisi<br />
saorganizacio saqmianoba, raTa saqarTveloSi Catardes 2016wlis an<br />
2018 wlis evromecnierebis forumi.<br />
&3.2014 welsMmomzaddes saqarTvelos eqTanTa III konferencia.A<br />
miiRos aqtiuri monawileoba.<br />
saqrTvelos pediatrTa akademia-2013<br />
saqarTvelos pediatrTa akademiam 2013 wels prezidentad<br />
airCia m.m.d. profesori, akademikosi q-ni qeTi nemsaZe, xolo<br />
vice-prezidentad m.d. sruli profesori b-ni irakli favleniSvili.<br />
saqartvelos pediatrTa akademis sabWo da misi yvela<br />
webri guliTadad ulocavs q-on qeTisa da b-on iraklis<br />
da usurvebs maT nayofier moRvaweobas pediatriis sadarajoze.<br />
saqarTvelos pediatrTa akademis sabWos Tavmjdomare m.m.d.<br />
sruli profesori, akademikosi giorgi CaxunaSvili<br />
7
8<br />
X IXX<br />
samecniero-praqtikuli konferenciaze miRebuli rezolucia: `kvebis obieqtebi,<br />
mwarmoeblebTan erTad aqtiurad Caebnen moZraobaSi `jansaRi kveba bavSvebs~ sruldeba<br />
yoveldRiuri da yvelasaTvis xelmisawvdomi<br />
iafiFsakvebi produqti “apipuri”.<br />
gamdidrebulia janmTelobisaTvis<br />
aucilebeli aminomJavebiT, vitaminebiT<br />
da mineralebiT. igi Seamcirebs<br />
masiurad gavrcelebul vitaminebis,<br />
aminomJavebis da mikroelementebis deficitiT<br />
gamowveul daavadebebs. mosaxleobis<br />
farTo fenebis kvebis racionSi<br />
sakmaodaa gavrcelebuli mikonutrientebis<br />
deficiti romelic mravali<br />
daavadebis sawindaria. cilovanenergetikuli<br />
deficiti (zrdaSi CamorCena)<br />
bavSvTa da mozardTa asak-<br />
Si, janmo-s bavSvis zrdis standart-<br />
Tan (2.3%) SedarebiT, statistikurad<br />
mniSvnelovnad aris momatebuli.Edeficituri<br />
mdgomareoba xSirad<br />
Tavs spotsmenebSic iCens, sadac umniSvnelovanes<br />
problemas mwvave da<br />
qronikuli gadaZabva da misi profilaqtika<br />
warmoadgens. janmrTelobis<br />
msoflio organizaciis bavSvis zrdis<br />
standartis mixedviT zrdaSi Camor-<br />
Cenis nebismieri maCvenebeli saganga-<br />
Soa da Sesabamisi reagirebisa da kvebisa<br />
da janmrTelobis programis ganxorcielebis<br />
safuZvels warmoadgens.<br />
janmo-s mier mier aRiarebuli unikaluri<br />
programa- yoveldRiurad yvelasaTvis<br />
xelmisawvdomi sakvebi produqtis-puris<br />
Tundac rkiniT gamdidreba,<br />
saqarTveloSi Seamcirebs anemiiT<br />
gamowveul daavadebebs. kvlevis Sedegebis<br />
mixedviT zogadad dadginda,<br />
rom puris nimuSebis mxolod 24,9 %<br />
iyo Sesabamisad fortificirebuli, rac<br />
ar aris sakmarisi mosaxleobaSi mikronutrientebis<br />
deficitis SemcirebisTvis.<br />
komerciul sacxobebsa da Sinameurneobis<br />
pirobebSi puris gamosacxobad<br />
gamoyenebuli xorblis fqvilis<br />
umetesoba an ar iyo rkiniT gamdidrebuli,<br />
an arasakmaris rkinas Seicavda.<br />
amgvari mdgomareoba yvela regionSi<br />
gamovlinda. aRsaniSnavia, rom<br />
radgan rkina xSirad sxva mikroelementebiT<br />
Sesabamisi fortifikaciis maCvenebelia<br />
da radgan qarTuli puri<br />
rkiniT ar aris sakmarisad fortificirebuli,<br />
SegviZlia davaskvnaT, rom<br />
puri sxva elementebs, maT Soris foliumis<br />
mJavasac, arasakmarisad Seicavs.<br />
aRarafers vambobT vitaminebiT<br />
gamdidrebaze. aRniSnuli problemis<br />
gadawvetas moemsaxureba yvelasaTvis<br />
xelmisawvdomi iafi sakvebi produqtis<br />
puri-,,apipuri”-s warmoeba.<br />
yoveldRiuri da yvelasaTvis xelmisawvdomi<br />
sakvebi produqti puri, gamdidrebuli<br />
janmTelobisaTvis aucilebeli<br />
aminomJavebiT, vitaminebiT da<br />
mineralebiT, saqarTveloSi Seamcirebs<br />
NEWS<br />
CRDF Global periodically releases news items<br />
of general or topical interest. If you are a member<br />
of the media and wish to receive news alerts,<br />
please for our mailing list. Please direct all media<br />
inquiries to EA Dyson, 703-526-2339, or<br />
email the CRDF Global office.<br />
Winners of STEP 2012 ?From Idea to Market?<br />
Competition in Georgia Announced<br />
Dec 11, 2012<br />
On December 3 rd , in Tbilisi, Georgia, CRDF<br />
Global?s Science and Technology Entrepreneurship<br />
Program (STEP) concluded its 2012 ?From<br />
`api puri“ _ aminomJavebiT, vitaminebiTa da mineralebiT<br />
gamdidrebuli puri k.CaxunaSvili, S.iusupovi, i.kalandia,<br />
n.jobava, n.badriaSvili, n.TofuriZe, g.CaxunaSvili<br />
z.SaqaraSvili (socialuri pediatriis dacvis fondi,<br />
S.p.s. `puri“ (Tbilisi)<br />
masiurad gavrcelebul vitaminebis,<br />
aminomJavebis da mikroelementebis deficitiT<br />
gamowveul daavadebebs, romlebic<br />
did safTxes uqnian bavSvebs<br />
da saqarTvelos mTel mosaxleobas.<br />
`apipuri” Seicavs yvela zemo Tqmul<br />
bunebriv elements da misi moxmareba<br />
mosaxleobas uzrunvelyofs janmr-<br />
TelobisTvis sakmaris vitaminebs, aminmJavebsa<br />
da mikroelementebs.<br />
axali teqnologiiTdamzadebuli<br />
puri “apipuri”<br />
,romelic gamdidrebuliabiulogiuradaqtiuri<br />
danamatiT “apivitiT”<br />
(futkris<br />
naturaluri produqtebis<br />
nazavi),<br />
gamoirCeva sasiamovno,<br />
specifikuri<br />
surneliT da gemoTi, rac produqts<br />
ufro mimzidvels xdis. vinaidan mosaxleoba<br />
darwmunebulia futkris<br />
produqtebis sasargeblo TvisebebSi,<br />
produqti ufro met ndobas moipovebs<br />
momxmarebelSi.<br />
sxva ufro Zvirad Rirebuli kvebis<br />
produqtebiT(rZis nawarmi, xorci,<br />
Tevzeuli)<br />
preparatebiT da kvebiTi danamatebiT,<br />
romlebic Seicaven aminomJavebs,<br />
vitaminebs da mineralebs, preparatebi<br />
(Multi-tabs B-complex da sxva), kvebiTi<br />
danamatebi) preparatebSi da kvebiT<br />
danamatebSi aminomJavebi, vitaminebi<br />
da mineralebi miRebulia sin-<br />
Tezuri gziT. maTgan gansxvavebiT „api-<br />
Idea to Market? competition. Ten teams pitched<br />
their ideas to the US-Georgian panel of jurors at<br />
the Competition final event, Venture Forum, and<br />
four were awarded one-year $24,500 grants to<br />
bring their innovations to the market.<br />
STEP 2012 ?From Idea to Market? competition<br />
was open to all Georgian scientists and technology<br />
entrepreneurs with innovative projects<br />
that have commercial applications in the local,<br />
regional, and/or international markets. The competition<br />
and the awards are co-funded by Shota<br />
Rustaveli National Science Foundation, and<br />
implemented in partnership with the Georgian<br />
Research and Development Foundation (GRDF).<br />
STEP is funded by the US Department of State.<br />
In addition to the monetary awards, teams<br />
will receive individual mentoring from top U.S.<br />
business experts in technology commercialization<br />
and entrepreneurship.<br />
viti“ warmoadgens bunebriv futkris<br />
produqtebis nazavs.<br />
mas Semdeg rac „apviti“-is suspenziaSi<br />
ingredientebis wilobrivi cvlilebebiT<br />
ise rom produqts ar daekargos<br />
sasiamovno gemo da surneli, com-<br />
Si mikrobiologiuri analizis safuZvelze<br />
miiRweva vargisianobis gazrda.<br />
adglobriv bazarTan erTad Cveni samizne<br />
gaxdeba saerTaSoriso bazaric.<br />
puri „apipuri“ romelic gamdidrebulia<br />
bunebrivi biologiurad aqturi<br />
produqtiT warmoadgens siaxles<br />
rogorc adgilobriv ise saer-<br />
CRDF Global congratulates all competition<br />
participants for their hard work and innovative<br />
spirit, and is proud to present the winners of<br />
this year?s competition.<br />
APIPURI Team Lead:<br />
George Chakhunashvili<br />
In Georgia, a huge part of society suffers<br />
from malnutrition or micronutrient<br />
deficiencies due to a lack of essential vitamins<br />
and minerals in their diet. Many<br />
cannot always afford to buy the fresh<br />
milk, meat, and vegetables that provide<br />
essential micronutrients. Recognizing,<br />
however, that bread is a staple bought<br />
by every Georgian family, the team developed<br />
enriched bread called ?Apipuri,?<br />
which delivers a complex of micronutrients<br />
unlike any other enriched bread on<br />
TaSoriso bazarze. ar arsebobs iseT<br />
pur-funTuSeulis produqti romelic<br />
Seicavs erTdroulad amnomJavebs,<br />
vitamnebs da mineralebs.<br />
saqarTveloSi pur-funTunTuSeulis<br />
mravali saxeoba iwarmoeba. Cveni<br />
konkurentebi arian is mwarmoeblebi,<br />
romlebic uSveben vitaminebiT<br />
da mineralebiT gamdidrebul purs.<br />
maTi produqcia gamdidrebulia ZiriTadad<br />
rkiniT da B-jgufis vitaminebiT.<br />
aseT sawarmoTa raodenoba<br />
mcirea da ver akmayofilebs bazris<br />
miTxovnilebas. Cvens mier warmoebuli<br />
puri-,,apipuri” gamdidrebuli aminomJavebiT,<br />
vitaminebiT da mineralebiT,<br />
zemoT CamoTvlili gamdidrebuli<br />
pureulisagan gansxvavebiT, Seicavs<br />
yvelaze srulyofil nakrebs.<br />
mxolod mis SemadgenlobaSia erTdroulad:<br />
mniSvnelovani naxSirwylebi(fruqtoza,<br />
glukoza), aminomJavebis<br />
22saxeoba(valini, lizini, leicini,<br />
glutamini, cistini da sxva), vitaminebi<br />
(A, B1, B2,B5,B6,Bc ac. folici,<br />
C,D,PP,E,Kfosfoterinebi, rutini (sisxlZarRvis<br />
kedlis gamamagrebeli<br />
flavinoidi) najeri da ujeri<br />
cximovani mJavebi, mineralebi (Ca, Mg,<br />
Pp, Fe, Zn, I, Ka, Na, Cu).<br />
yoveldRiuri da yvelasaTvis xelmisawvdomi<br />
iafiFsakvebi produqti “apipuri”.<br />
romelc damzadebulia axali<br />
teqnologiiT, saqarTveloSi Seamcirebs<br />
masiurad gavrcelebul vitaminebis,<br />
aminomJavebis da mikroelementebis<br />
deficitiT gamowveul daavadebebs.<br />
the market. By purchasing the low-cost Apipuri,<br />
the team expects consumers will get the vitamins<br />
they need to avoid long-term health-related financial<br />
costs they may not be able to afford.
klinikuri farmakologiis da racionaluri<br />
farmakoTerapiis Taviseburebebi pediatriaSi<br />
ZiriTadi cnebebi<br />
farmakoTerapiis Catarebisas bavSvebSi<br />
gaTvaliswinebuli unda iyos bav-<br />
Svis organizmis Taviseburebani, riTac<br />
is gansxvavdeba mozrdilisgan.<br />
bavSvisTvis wamlis usafrTxo da<br />
efeqturi dozis SesarCevad wamlis<br />
`mozrdilis’’ dozis martivi proporciuli<br />
Semcireba yovelTvis ar aris<br />
sakmarisi,<br />
preparatis SerCevisa da misi dozirebis<br />
reJimis gansazRvrisas aucilebelia<br />
gaTvaliswinebuli iqnes wamlis farmakodinamikis<br />
da farmakokinetikis Taviseburebani<br />
bavSvebSi<br />
bavSvis mkurnalobisas wamlis adekvaturi<br />
dozis dasadgenad saWiroa gaTvaliswinebuli<br />
iqnas avadmyofis asaki,<br />
wona da sxeulis farTobi.<br />
wona da sxeulis farTobi bavSvebSi<br />
sakmaod mokle droSi SeiZleba Seicvalos.<br />
BbavSvisTvis wamlis SerCevisas upiratesoba<br />
eniWeba dozirebis da wamlis<br />
Seyvanis martiv sqemas: rac ufro iolia<br />
wamlis organizmSi Seyvanis sqema, miT<br />
ufro zustad iqneba is Sesrulebuli.<br />
saqarTveloSi bavSvTa<br />
sikvdilianoba gansakuTrebiT<br />
axalSobilobis periodSi kvlav ma-<br />
Ralia. infeqciuri daavadebebi, romelsac<br />
bavSvTa sikvdilianobaSi adre pirveli<br />
adgili eWira, rig qveynebSi ukana<br />
planze gadaiwia, Tumca SeSfoTebis mizezs<br />
iwvevs qimiuri saSualebebiT da<br />
wamlebiT bavSvebis mowamvlis sixSiris<br />
mateba.<br />
janmrTelobis msoflio organizaciis<br />
farmakoepi- demiologiuri kvlevebis<br />
monacemebiT wamlismieri garTulebebiT<br />
sikvdiloba ganviTarebul qveynebSi<br />
V-VI adgilzea gulsisxlZarRvTa, kibos,<br />
travmebis, mowamlvebis da sasunTqi gzebis<br />
daavadebebis Semdeg.<br />
prevenciuli meTodebis racionaluri<br />
gamoyeneba da asakobrivi Taviseburebebis<br />
gaTvaliswinebiT mkurnaloba sa-<br />
Sualebas iZleva mniSvnelovnad SevamciroT<br />
bavSvTa sikvdilianoba.<br />
axalSobilobis periodidan zrdasrul<br />
asakamde adgili aqvs organizmis<br />
yvela fiziologiuri funqciebis da sistemebis<br />
Rrma cvlilebebs. am cvlilebebis<br />
dinamika araTanazomieria, ris gamoc<br />
ganasxvaveben: axalSobilobis periods _<br />
dabadebidan pirveli 4 kvira, ZuZuTa asaki<br />
_ meoTxe kviridan - meore wlis dadgomamde.prewinasaskolo<br />
asaki _ sam wlamde asaki,winasaskolo<br />
asaki _ 3 dan- 6 wlamde<br />
asaki. saskolo asaki _ 6 dan 16 wlamde.<br />
5 welze meti asakis bavSvebis kliniko-<br />
farmakologiuri- parametrebi mcired<br />
gansxvavdeba mozrdilebisgan.<br />
12 welze meti asakis bavSvebi wamlis<br />
dozis gansazRvrisas ganixileba, rogorc<br />
mozrdili.<br />
preparatis SerCevisa da misi dozirebis<br />
reJimis gansazRvrisaTvis aucilebelia<br />
gaTvaliswinebuli iqnes klinikuri<br />
farmakologiis ZiriTadi nawilebis<br />
-wamlis farmakodinamikis da farmakokinetikis<br />
Taviseburebani bavSvebSi<br />
farmakodinamika<br />
zogierTi wamlebis moqmedebis meqanizms<br />
bavSvTa asakSi gaaCnia garkveuli<br />
Taviseburebebi. 3-5 welze meti asakis bav-<br />
SvebSi wamalTa umravlesobis farmakodinamika<br />
ar gansxvavdeba mozrdilebisgan.<br />
wamalTa moqmedebis farmakodinamikuri<br />
gansxvavebebi bavSvebSi da mozrdilebSi<br />
detalurad ar aris Seswavlili.<br />
ar vflobT <strong>info</strong>rmacias. romelic exeba<br />
receptoruli sistemebis specifiur<br />
samizne qsovilebs, romlebic mwifdeba<br />
dabadebisTanave an ramodenime dReSi.<br />
Tumca cnobilia,rom bronquli asTmiT<br />
daavadebul bavSvebSi gamovlinda b<br />
ta-adrenoreceptorebiT mkurnalobis<br />
naklebi efeqturoba, xolo Ca-is antagonistebs<br />
axalSobile-bSi SeuZliaT gamoiwvion<br />
gacilebiT Zlieri gverdiTi<br />
reaqciebi (arteriuli hi potonia, asistolia),vidre<br />
mozrdilebSi.<br />
farmakokinetika<br />
wamlis farmakokinetikuri parametrebi<br />
(absorbcia, distribucia,biotransformacia,eliminaciaklirensi<br />
da sxva) bavSvis<br />
organizmi xasiaTdeba zogierTi TaviseburebebiT.<br />
am Taviseburebebis codna<br />
medicinis doqtori rusudan jaSi<br />
klinikuri farmakologiisa da racionaluri<br />
farmakoTerapiis xelSewyobis kavSiri Primum Non Nocere<br />
evromecnierebis saqarTvelos seqciis farmakologiis departamenti<br />
da maTi praqtikaSi gamoyenebis unari aucilebeli<br />
pirobaa swori, efeqturi da usafrTxo<br />
farmakoTerapiis Casatareblad.<br />
kuW-nawlavis traqtSi wamlis<br />
Sewova (absorbcia)<br />
wamlis Sewovaze gavlenas axdens rogorc<br />
preparatis fiziko-qimiuri Tvisebebi<br />
aseve avadmyofi bavSvis organizmis<br />
Taviseburebebi(kuWis wvenis ph, kuWis daclis<br />
siCqare, naRvlis mJavebis Semcveloba,Tanmxlebi<br />
daavadebebi)<br />
dabadebis pirvel saaTebSi kuWis wvenis<br />
ph meryeobs 6 dan – 8 mde, ramodenime<br />
saaTis Semdeg 1,5dan-3.0 mde mcirdeba, xolo<br />
6 kviris asakSi kuWis wvenis ph-i ar<br />
aRemateba 4.0<br />
saWmlis-momnelebeli sistemis lorwovanis<br />
ganvladoba wamlebis umravlesobisaTvis<br />
damokidebulia maT lipidebSi<br />
xsnadobasa da ionizaciaze. mJaveebi<br />
ufro advilad Seiwoveba kuWSi, radgan<br />
mJave garemoSi isini nakleb ionizirebul<br />
mdgomareobaSi imyofebian anu ufro<br />
cximSi xsnadebi arian, fuZeebi ki<br />
piriqiT, ufro kargad Seiwovebian wvril<br />
an msxvil nawlavSi.<br />
kuWis daclis siCqare axalSobileb-<br />
Si ufro naklebia, vidre mozrdilebSi,<br />
Tumca 1-8 Tvis manZilze is matulobs.<br />
kuWidan sakvebis evakuacia aseve damokidebulia<br />
mis Sema-dgenlobaze.wamlebi ZiriTadad<br />
Seiwoveba wvril nawlavebSi,<br />
amitom kuWis daclis siCqare garkveuli<br />
xarisxiT moqmedebs am procesze.<br />
naRvlis mJavebis marilebis saerTo moculoba<br />
da sinTezis siCqare axalSobilebSi<br />
mozrdilebTan SedarebiT dabalia,<br />
amitom cximSi xsnadi wamlebis da vitaminebis<br />
Sewova mniSvne-lovnad dabalia.<br />
kuW-nawlavis traqtidan wamlis Sewovaze<br />
garkveul zegavlenas axdens Tanmxlebi<br />
daavadebebi,romlebic moqmedeben<br />
kuWSi qlorwyalbadmJavis sinTezze da<br />
mis daclaze (pilorostenozi,gulis SegubebiTiukmarisoba)<br />
naRvlis mJavebis sekreciaze<br />
(qolesTazi),an daavadebebi romlebic<br />
nawlavis SewoviT zedapirs amcireben<br />
(nawlavis damoklebis sindromi).<br />
ase rom, 6 Tvemde asakis bavSvebSi<br />
kuW-nawlavis traqtidan wamlis Sewova<br />
sisxlSi, ufro Senelebulia,vidremozrdilebSi.<br />
Sewova kanidan<br />
kanidan wamlis Sewova misi marcvlovani<br />
Sris sisqis ukuproporciulia<br />
da kanis hidrofilurobis pirdapir-proporciulia.<br />
drouli axalSobilis kani asrulebs<br />
barierul funqcias, Tumca misi marcvlovani<br />
Sre mozrdilTan SedarebiT Txelia,<br />
xolo sxeulis zedapiris farTobis<br />
Sefardeba sxeulis masasTan metia,<br />
vidre mozrdilebSi. amis gamo, Tu samkurnalo<br />
preparats erTnairi doziT sxeulis<br />
zedapirze gavTvliT da vixmarT<br />
axalSobilis da mozrdilis kanze, axal-<br />
Sobilisa-Tvis es doza aRmoCndeba 2-3<br />
jer meti, vidre mozrdilisa-Tvis.<br />
zogierTi qimiuri nivTiereba (pentaqlorfenoli<br />
romelsac Seicavs sarecxi<br />
Ffxvnili.sadezinfeqcio xsnarebi,romlebic<br />
Seicaven anilins) advilad<br />
gadian axalSobilis kanis bariers da<br />
SeuZliaT gamoiwvion mZime mowamvlebi.<br />
axalSobilebis kanis unari Seiwovos<br />
wamali SeiZleba gamoyenebuli iqnes<br />
sistemuri Terapiis Casatareblad.<br />
swori nawlavidan wamlis Sewova<br />
bavSvebSi wamlis reqtalurad Seyvana<br />
xdeba maSin, rodesac gaZnelebulia<br />
an SeuZlebelia wamlis per os micema<br />
(gulisreva, Rebineba, spazmi, saylapavis<br />
gamavlobis darRveva).<br />
swori nawlavi uxvad aris momaragebuli<br />
sisxlZarRvebiT,<br />
amitom wamlebis<br />
Sewova gansakuTrebiTaraionizirebuli<br />
cximSi xsnadi<br />
preparatebis (barbituratebi,benzidiazepinebi)<br />
xdeba<br />
Zalze swrafad da<br />
mTlianad. mag:diazepamis<br />
reqtaluri<br />
Seyvanisas (0.25-0.5 mg/<br />
) 2kviridan-11 wlamde<br />
asakis bavSvebSi<br />
misi koncentracia<br />
sisxlSi Seesabameba<br />
mis koncentracias<br />
intravenuri<br />
Seyvanisas<br />
wamlis Sewova<br />
intramuskularuli Seyvanisas<br />
kunTebSi wamlis Seyvana mizanSewonilia<br />
misi enteraluri Seyvanis SeuZleblobis<br />
SemTxvevaSi.<br />
wamlis Sewova damokidebulia sisxlis<br />
nakadze ineqciis adgilSi,kunTis<br />
masasa da kunTovan aqtivobaze.<br />
dRenaklul axalSobilebSi da umoZrao<br />
mdgomareobaSi myof bavSvebSi wamlis<br />
Sewova kunTebSi Seyvanisas Senelebulia.<br />
Seyvanis adgilze SesaZlebelia<br />
mtkivneulobis ganviTareba da abscesis<br />
Camoyalibebac ki.<br />
wamlis intravenuri Seyvana ufro mizanSewonilia<br />
intramuskularul SeyvanasTan<br />
SedarebiT, vinaidan am dros xdeba<br />
wamlis swrafi Seyvana organizmSi da<br />
misi zusti dozireba.<br />
wamlis Sewova ZvalSida<br />
Seyvanis Semdeg<br />
wamlis ZvalSida Seyvanas mimarTaven<br />
misi intravenuri Seyvanis SeuZleblobis<br />
dros, gansakuTrebiT pediatriaSi kardiorespiraciuli<br />
gaCerebis dros, rodesac<br />
saWiroa swrafi efeqtis miReba. am<br />
miznisTvis Seqmnili specialuri nemsebiT<br />
wamali SeyavT didi wvivis ZvalSi<br />
Zvlis tvinamde SesaRwevad. 5 wlamde asakis<br />
bavSvebSi grZel ZvlebSi Zvlis<br />
tvini ZiriTadad sisxlZarRvovani wi-<br />
Telia, xolo 5 wlis zemoT is icvleba<br />
nakleb sisxlZarRvovan yviTel Zvlis tvinad,<br />
amitom 5 wlamde asakis bavSvebSi wamlis<br />
am gziT Seyvanisas wamlis doza da<br />
Seyvanis siCqare unda Semcirdes. sisxlSi<br />
wamlis Sewovis siCqaris mxriv preparatis<br />
Seyvanis ZvalSida gza praqtikulad ar<br />
gansxvavdeba intravenuri gzisagan.<br />
organizmSi wamlis ganawileba<br />
organizmSi wamlis ganawilebaze moqmedebs<br />
misi siTxis moculoba, romelic<br />
gansxvavebulia bavSvebsa da mozrdileb-<br />
Si (cxr 5.1)<br />
siTxis Semcveloba axalSobilebis<br />
organizmSi ufro metia,<br />
vidre mozrdilebSi, magram asakTan<br />
erTad igi mcirdeba da pubertatul periodSi<br />
uTanabrdeba mozrdilebis maCvenebels.<br />
9<br />
bevri wamali upiratesad ujredSoris<br />
siTxeSi nawildeba (aminoglikozidebi da<br />
sxv.), amitom axalSobilebs da bavSvebs es<br />
preparati unda daeniSnoT 1 kg masaze<br />
ufro meti doziT, vidre mozrdilebs. es<br />
ufro mniSvnelovania wyalSi xsnadi preparatebisa<br />
da nivTierebebisTvis.<br />
dRenaklul axalSobilebSi cximovani<br />
Sre Seadgens sxeulis saerTo masis<br />
1%-s, rac gacilebiT naklebia,vidre droul<br />
axalSobilebSi (15%), amitom cximSi<br />
xsnadi preparatebi dRenakluli axal-<br />
Sobilis organizmSi ufro naklebi raodenobiT<br />
grovdeba,vidre droulebsa da<br />
mozrdilebSi.<br />
mniSvnelovani faqtori,romelic moqmedebs<br />
wamlis ganawilebaze, es aris ma-<br />
Ti unari daukavSirdnen plazmis cilebs.<br />
axalSobilebSi es procesi daqveiTe-<br />
bulia,vinaidan cilebi gadatvirTulia<br />
metabolizmis endogenuri produqtebiT<br />
(bilirubini, Tavisufali cximovani mJaveebi),<br />
aRiniSneba sisxlSi albuminis Semcvelobis<br />
Semcireba da cilis struqturebis<br />
xarisxobrivi cvlilebebi.<br />
es aRiniSneba adgilobrivi saanes-<br />
Tezio saSualebebis, diazepamis, fenobarbitalis,<br />
ampicilinis gamoyenebisas.<br />
amis gamo Tavisufali wamlis koncentracia<br />
sisxlis plazmaSi mniSvnelovnad<br />
imatebs, ramac SeiZleba gamoiwvios wamlis<br />
moqmedebis gaZliereba da misi toqsiuri<br />
Tvisebebis gamovlena.<br />
bevr wamals SeuZlia konkurencia gauwios<br />
bilirubinis cilasTan SekavSirebis<br />
unars, eseTebia sulfanilamidebi da<br />
salicilatebi, maTma gamoyenebam SeiZleba<br />
gaaZlieron siyviTle da piriqiT plazma-<br />
Si bilirubinis matebam SeiZleba gamodevnos<br />
wamali cilasTan SekavSirebisgan<br />
(mag:fenitoini), rac iwvevs am preparatis<br />
farmakologiuri aqtivobis matebas.<br />
biotransformacia<br />
wamlebis biotransformacia ZiriTadad<br />
xorcieldeba RviZlSi,sadac warmoiqmneba<br />
polaruli wyalSi xsnadi nivTierebebi<br />
(metabolitebi), romlebic advilad gamoiyofa<br />
naRvelTan da SardTan erTad.<br />
bavSvis organizmSi wamali xarisxobrivad<br />
ganicdis igive bioqimiur gardaqmnebs,<br />
rasac mozrdilis organizmSi, Tumca<br />
misi biotransformaciis intensivoba<br />
axalSobilebSi mniSvne-lovnad gansxvavdeba<br />
mozrdilis organizmSi mimdinare<br />
biotansformaciis intensivobisagan.<br />
kerZod, axalSobilebSi JangviTi reaqciebis<br />
siCqare citoqrom p 450 damokidebuli<br />
oqsidazis da masTanSeuRlebuli fermentebis<br />
monawileobiT 2-jer daqveiTebulia,<br />
amitom im wamlebis biotransformacia,<br />
romelic am gziT xorcieldeba mniSvnelovnad<br />
Senelebulia da matulobs ma-<br />
Ti ucvlelad gamoyofa. axalSobilebSi<br />
mozrdilebTan SedarebiT daqveiTebulia<br />
glukoroniltransferazis, alcohol-dehidrogenazis<br />
da esterazis aqtivoba,xolo<br />
koniugaciis reaqciebi glicinTan da<br />
sulfatebTan igivea, rac mozrdilebSi.<br />
axalSobilebSi wamlis Senelebuli<br />
metabolizmis gamo mravali preparati eliminirdeba<br />
organizmidan nela da gaaCniaT<br />
xangrZlivi naxevargamoyofis (T 1/2 ) periodi<br />
(cxr. 5.2)<br />
gagrZeleba me-10 gv.
10<br />
- 2000-2004 ww.
saqvelmoqmedo aqciebi<br />
marneulSi, duSeTSi da<br />
axaSenSi<br />
saqvelmoqmedo saqvelmoqmedo aqcia aqcia rusTavsa rusTavsa da da samtrediaSi<br />
samtrediaSi<br />
Tbilisis saxelmwifo<br />
samedicino universitetis<br />
teritoriaze 2008 wlis 2<br />
<strong>ivniss</strong> moewyo bavSvTa karavi<br />
(Teddy eddy V VVeuz<br />
VV<br />
euz Hospit Hospital Hospit al al), al romelSic<br />
monawileoba miiRes<br />
universitetis studentebma<br />
saqvelmoqmedo<br />
saqvelmoqmedo<br />
aqcia<br />
aqcia<br />
xaSurSi xaSurSi 2009<br />
2009<br />
saqvelmoqmedo aqcia<br />
qaqucoba 2008<br />
11
12<br />
saqvelmoqmedo saqvelmoqmedo aqcia aqcia barisaxo barisaxo 2009<br />
2009<br />
saqvelmoqmedo saqvelmoqmedo aqcia aqcia kalaTburTelebis kalaTburTelebis gasinjva gasinjva 2010<br />
2010<br />
saqvelmoqmedo saqvelmoqmedo aqcia aqcia karaleTi karaleTi 2010<br />
2010<br />
saqvelmoqmedo saqvelmoqmedo saqvelmoqmedo aqcia aqcia omis omis monawileTa monawileTa ojaxebisa ojaxebisa ojaxebisa da da wminda wminda keTilmsaxuri keTilmsaxuri mefe<br />
mefe<br />
Tamaris Tamaris skola skola pansionis pansionis bavSvebi bavSvebi (dekanozi (dekanozi mirian mirian samxaraZe) samxaraZe) gasinjva gasinjva 2010<br />
2010<br />
2010 2010 wlis wlis Ria Ria karis karis dRe dRe 04.XII 04.XII sporcmenebTan<br />
sporcmenebTan
2011 wlis 1 <strong>ivniss</strong><br />
01.06.12. Tbilisi<br />
11.08.12. karaleTi<br />
pativcemulo kolegebo,<br />
2012 wlis 21-22 dekembers Cveni qveynis<br />
pediatrebi, socialuri pediatriis<br />
dacvis fondis warmomadgenlebi, dedaqalaqis<br />
klinikis warmomadgenlebi,<br />
mecnierebi, sazogado moRvaweebi, Seikribnen<br />
konferenciaze,romelic tradiciulad<br />
Catarda Tssu-is saaqto darbazSi.<br />
konferncia Tbilisis saxelmwifo samedicino<br />
universitetis, saqarTvelos<br />
humanitaruli da saxelovnebo mecnierebaTa<br />
akademiis, socialuri pediatriis<br />
dacvis fondis, Tbilisis saxelmwifo<br />
samedicino universitetis, bavSvTa<br />
axali klinikis, gestozebis Svilobili<br />
samedicino daxmarebis saerTaSoriso<br />
organizaciis, samedicino-socialuri<br />
mecnierebis interkontinentaluri<br />
akademiis, saqarTvelos bavSvTa kardiologTa<br />
asociaciis, saqarTvelos sabunebismetyvelo<br />
mecnierebaTa akademiis, saqarTvelos<br />
eqimTa asociaciis, saqarTvelos<br />
meddaTa asociaciis, aliansi koalicia<br />
damoukidebeli cxovreba `moZraoba<br />
afxazeTisaTvis’’, saqarTvelos<br />
axalgazrda pediatrTa ligis, sruliad<br />
saqarTvelos qalTa kongresis, eqim-<br />
Ta uflebebis dacvis asociaciis, saqar-<br />
Tvelos samedicino specialistebis asociaciis,<br />
evropis medikos studentTa asociaciis,<br />
saqarTvelos pediatrTa akademiis,<br />
saqarTvelos bavSvTa qirurgTa aso-<br />
2011 wlis 1 <strong>ivniss</strong><br />
konferenciis organizatorebsa da afxazeTis<br />
jandacvis saministros iniciativiT<br />
bavSvTa dacvis dRes mieZRvna bavSvTa saqvelmoqmedo<br />
konsultaciebi, romelic Catarda<br />
bavSvTa axal klinikaSi da gaisinja<br />
200-mde bavSvi.agreTve moewyo afxazeTidan<br />
afxaz bavSvTa namuSevrebis naxatebis gamofena<br />
da maT gadaecaT sertifikatebi.<br />
ciaciis, dedaTa da bavSvTa janmrTelobis<br />
centris, saqarTvelos sportis departamentis,<br />
saqarTvelos pediatrTa asociaciis,<br />
Tssu studenturi TviTmmarTvelobis,<br />
Tssu studentTa samecniero<br />
sabWos mier iyo organizebuli.<br />
konferenciaze miRebuli iqna:<br />
yoveli wlis 1 <strong>ivniss</strong> dedaTa da bavSvTa<br />
mzrunvelobis mxardasaWerad gamocxaddes<br />
samedicino dawesebulebebSi<br />
sayoveTaoYRia karis dRe.<br />
arsebuli <strong>info</strong>rmaciebi SeZlebisdagvarad<br />
vrceldeba. Cveni survilia, rac<br />
SeiZleba metma samedicino dawesebulebebma<br />
miiRos am saqvelmoqmedo aqciaSi<br />
monawileoba da igi gaxdes tradiciuli<br />
(ra Tqma unda aqciaSi monawileoba nebayoflobiTia).<br />
winaswar gixdiT madlobas<br />
amdenad, 1 ivnisis aqciaSi monawileobis<br />
survili gamoTqva:<br />
Tbilisi<br />
– ir. ciciSvilis sax. bavSvTa axali<br />
klinika<br />
– pediatriis instituti<br />
– sadiagnostiko centri 444<br />
– kardiologiis instituti<br />
aWaris regioni<br />
– baTumi<br />
– qobuleTi<br />
27.07.12. Telavi<br />
13<br />
saqvelmoqmedo<br />
aqcia 24.12.2011.<br />
bavSvTa axal<br />
klinikaSi<br />
(gaisinja 200-ze<br />
meti bavSvi)<br />
Ria werili kolegebs<br />
gori<br />
– S.p.s. `gormedi“<br />
– saaq.saz. `iavnana“goris dedaTa da<br />
bavSvTa centri<br />
Telavi<br />
bavSvTa janmrTelobis centri<br />
quTaisi<br />
q. quTaisis dedaTa da bavSvTa samkurnalo<br />
diagnostikuri centri, janmrTelobis<br />
imedia kidev mravali organizacia<br />
Caebmeba am saqvelmoqmedo aqciaSi da<br />
igi iqneba yovelwliuri da gaxdeba tradiciuli.<br />
didi madloba masSi yvela monawiles,<br />
imedia momavalSi Caebmeba farmacevtuli<br />
firmebi da biznesis warmomadgenlebi.<br />
konferenciis orgkomiteti
14<br />
klinikuri farmakologiis da racionaluri<br />
farmakoTerapiis Taviseburebebi pediatriaSi<br />
dasasruli. dasawyisi me-9 gv.<br />
zogjer wamlebze moqmedeben is fermentebi<br />
romelTa aqtivoba axalSobilobis<br />
periodSi ufro maRalia, vidre mozrdilebSi.<br />
ase, dabadebidan 2-3 dRis Semdeg<br />
CvilebSi daqveiTebulia glukuronis mJaviT<br />
acetaminofenis (paracetamolis) koniugacia,<br />
Tumca preparati Zalian aqtiurad<br />
koniugirdeba sulfatis saSualebiT.<br />
axalSobilebisTvis wamlis daniSvnisas<br />
unda gairkves Rebulobda Tu ara Cvilis<br />
deda orsulobis periodSi iseT preparatebs,<br />
romlebsac SeuZliaT nayofis RviZlis<br />
fer-mentebis adreuli momwifebis (aqtivirebis)<br />
inducireba, magaliTad iseTi<br />
preparati, rogoric aris fenobarbitali.<br />
Tu gairkva, rom deda Rebulobda<br />
msgavs preparatebs, maSin arsebobs safuZveli<br />
vivaraudod, rom axalSobils<br />
am fermen-tebis aqtivoba momatebuli aqvs<br />
da amitom wamlebis metabo-lizmi daCqarebuli<br />
iqneba.<br />
gamoyofa Tirkmelebis<br />
saSualebiT<br />
wamlis umravlesoba da maTi metabolitebi<br />
gamoiyofa Tirkmelebidan gogrglovani<br />
filtraciis Sedegad da milakovani<br />
sekreciis saSualebiT.<br />
axalSobilis Tirkmlis funqcia mozrdilebTan<br />
SedarebiT daqveiTebulia, amitom<br />
Sardis saSualebiT wamlis gamoyofa<br />
naklebad intensiuria.<br />
gogrglovani filtraciis siCqare<br />
droul axalSobilebSi Seadgens 2-4 ml/<br />
wuTSi, dabadebidan 2-3 dRis Semdeg es maCve-nebeli<br />
imatebs 8-20 ml/wuTamde da TandaTan<br />
gorglovani filtraciis xarisxi<br />
2,5-5 TvisTvis aRwevs mis maCvenebels mozrdilebSi.<br />
gorglovani filtraciis momateba<br />
ganpirobe-bulia TirkmelebSi sisxlis<br />
nakadis gazrdiT,romelic Tavis<br />
mxriv damokidebulia gulis wuTmoculobis<br />
momatebasTan, sisxlZarRvTa periferiuli<br />
winaaRmdegobis SemcirebasTan da<br />
aseve Tirkmlis filtraciuli zedapiris<br />
moculobis momatebasTan.<br />
axalSobilebis Tirkmlis milakebis<br />
funqcia mozrdilebTan SedarebiT daqveiTebulia,<br />
rac ganpirobebulia rigi mizezebiT:<br />
milakebis sigrZis simcire da<br />
funqcionirebadi ujredebis simcire, energiis<br />
uzrunvelyofis procesebis umwifroba.<br />
milakovani aparatis momwifeba gorglovanTan<br />
SedarebiT mogvianebiT xdeba.<br />
milakovani da gorglovani aparatis sruli<br />
momwifeba xdeba 6-dan 8-Tvemde asakSi.<br />
dabadebidan 8 Tvis Semdeg wamlis gamoyofa<br />
Tirkmelebis saSualebiT esadageba<br />
msgavs procesebs mozrdilebSi.<br />
pediatriaSi Tirkmlis funqciis Sesafaseblad<br />
sargebloben troba-jonsonis<br />
formuliT, romelic uzrunvelyofs<br />
kreatininis klirensis Sefasebis martiv<br />
xerxs, im avadmyofebSi romelTa asaki<br />
meryeobs 1 dan 18 wlamde:<br />
kreatininis klirensi = 42 X simaRle (sm)<br />
(ml/wuTSi/1,73m 2 ) plazmiskreatinini (mmol/l)<br />
wamlebs, romlebic eliminirdeba Tirkmelebis<br />
saSualebiT miekuTvneba antibiotikebi<br />
(aminoglikozidebi, penicilinebi,<br />
cefalosporinebi), digoqsini, furosemidi.<br />
axalSobilebSi am wamlebis daniSvnisas<br />
gverdiTi reaqciebis Tavidan<br />
acilebis mizniT isini unda dainiSnos<br />
naklebi doziT da didi intervaliT.<br />
cxrilSi 5.3. mocemulia wamalis farmakokinetikuri<br />
cvlilebebi axalSobilebSi<br />
mozrdilebTan SedarebiT.<br />
dozireba<br />
axalSobilebSi, bavSvebsa da mozrdilebSi<br />
arsebuli farmakokinetikuri<br />
gansxvavebebi saSualebas ar iZleva, rom<br />
mozrdilebze gaTvlili doza martivad<br />
proporciulad Semcirebuli saxiT<br />
daeniSnos Cvilebsa da bavSvebs.<br />
imis gamo, rom mkurnaloba ufro efeqturi<br />
da usafrTxo iyos eqimebma unda<br />
isargeblon wamlis ukve dadgenili asakis<br />
Sesabamisi dozebiT, romelic mocemulia<br />
specialur cnobarebsa da wamal-<br />
Ta oficialur anotaciebSi.<br />
wamlebis umravlesobas, romelic nebadarTulia<br />
bavSvebSi gamosayeneblad, gaaCnia<br />
specialuri rekomendaciebi miligra-mebSi<br />
sxeulis masaze gaTvliT.<br />
Tu preparats dozis msgavsi rekomendacia<br />
ar axlavs, maSin misi dozis gaTvla<br />
SeiZleba yvela im meTodiT, romelic<br />
iTvaliswinebs asaks, sxeulis masasa<br />
da sxeulis zedapiris farTobs.<br />
nebismieri gaTvlisas pediatriuli<br />
dozis sidide ar unda aRematebodes Sesabamisi<br />
wamlis mozrdilis dozis sidides.<br />
dozis gamoTvlis meTodebs miekuTvneba<br />
iangis da klarkis meTodebi.<br />
iangis wesi:<br />
doza = mozrdilebis doza<br />
x asakze(wlebSi)<br />
asaki + 12<br />
klarkis wesi:<br />
doza = mozrdilebis doza<br />
x masa (kg)<br />
70<br />
ufro zusti da adeqvaturia dozis<br />
gaTvla bavSvis sxeulis farTobis mixedviT<br />
(cx. 5.4) romlis drosac xSirad<br />
nanogramebiT sargebloben, maTi daxmarebiT<br />
sxeulis farTobis gaTvla ufro<br />
advilia.<br />
dozis gamoTvlis meTodis arCevisas<br />
aucilebelia mxedvelobaSi miviRoT wamlis<br />
Terapiuli indeqsi.<br />
viwro Terapiuli indeqsis mqone wamlebisaTvis(mag.citostatikebi,eufilini,gentamicini,<br />
liTiumi,digoqsini) er-<br />
Tjeradi doza SeiZleba gamoTvlili<br />
iqnes yvela asakobrivi jgufebisTvis: am<br />
or zRvars Soris dozis gamoTvla xdeba<br />
miligramebSi kilogramze.<br />
wamlis dozis gansazRvris nebismieri<br />
meTodi saboloo dazustebas saWiroebs<br />
wamlis moqmedebis monitoringis<br />
dros miRebuli monacemebis safuZvelze,xolo<br />
viwro Terapiuli indeqsis mqone<br />
preparatebisaTvis aucilebeli sisxlis<br />
SratSi maTi dozis monitoringi.<br />
sxeulis zedapiris farTobi (szf) SeiZleba<br />
Semdegi formuliT gamoiTvalos:<br />
szf =<br />
simaRle(sm) x masa(kg)<br />
3600<br />
wamlebis gverdiTi reaqcia<br />
gverdiTi efeqtebis ganviTarebis six-<br />
Sire matulobs asakTan erTad, Tumca maTi<br />
ganviTarebis albaToba aseve maRalia bav-<br />
SvTa asakSi, rigi Taviseburebebis gamo<br />
(receptoruli mgrZnobelobis Taviseburebani,Hhematoencefaluri<br />
barieris maRali<br />
ganvladoba, Tirkmlismieri eliminacia<br />
da sxva) gverdiTi efeqtebis sixSire<br />
gansakuTrebiT maRalia axalSobilobis<br />
periodSi da gaaCnia rigi Taviseburebebi.<br />
es gverdiTi efeqtebi SeiZleba ganviTardes<br />
wamlis ufro mcire dozebiT, vidre<br />
mozrdilebSi, xolo maTi gamoxatuleba<br />
xSirad specifiuria, magaliTad tetracikliniT-<br />
kbilebis SeRebva,. kortikosteroidebiT<br />
xangrZlivi mkurnalobisas prepuberta-tul<br />
periodSi zrdis daTrgunva,<br />
fenobarbitalis miRebiT gamowveuli parodoqsaluri<br />
hiperaqtiuroba bavSvebis<br />
25% -Si (mizezi ucnobia da ar exeba farmakokinetikis<br />
cvlilebas)<br />
Catarebul medikamentur TerapiaSi<br />
Secdomebs xSirad mivyavarT wamlebis<br />
gverdiTi efeqtebis ganviTarebasTan. Aam<br />
garTulebebs miekuTvneba,pirvel rigSi<br />
avadmyofi bavSvis samkurnalod gankuTvnili<br />
wamlis idividualuri dozis araswori<br />
gansazRvra. am dros gaTvaliswinebuli<br />
unda iqnes,rom organizmis swrafi<br />
zrdisa da sxeulis masis cvlilebebis<br />
gamo wamlebis standartuli dozebi<br />
bavSvebisaTvis ar arsebobs.<br />
wamlis formebi, maTi Seyvanis gzebi<br />
da reJimi<br />
wamali gamodis sxvadasxva formiT<br />
da aseve gansxvavebulia organizmSi ma-<br />
Ti Seyvanis gzebi (enteraluri daparenteraluri)<br />
organizmSi wamlis Seyvanis enteraluri<br />
gza<br />
wamlis Seyvana organizmSi ZiriTadad<br />
kuW-nawlavis gavlis gziT xdeba (piridan<br />
an nawlavidan). am gzis upiratesoba<br />
misi ganpirobebulia miRebis moxerxebulobiT,<br />
simartiviT, SedarebiTi<br />
usafrTxoebiT da naklebi garTulebebiT,<br />
rac Tan axlavs<br />
wamlis Seyvanis parenteralur<br />
gzas.<br />
Tumca per os wamlis<br />
miReba SeuZlebelia<br />
Seupovari Rebinebis<br />
da bavSvis ugono<br />
mdgomareobebis dros.<br />
wamlis per os mi-<br />
Reba xdeba xsnarebis,<br />
abebis, kafsulebis,<br />
fxvnilebis da draJeebis<br />
formiT. zogier-<br />
Ti preparati bavSvis-<br />
Tvis gamodis eleqsirebis<br />
da suspenziebis<br />
saxiT. suspenziebi Seicaven<br />
uxsnad nawilakebs<br />
romlebic mTels<br />
moculobaSi Tanabrad<br />
nawildeba mxolod misi<br />
kargad SenjRrevis<br />
Semdeg,amitom aseTi<br />
formis preparati unda<br />
SeinjRres yoveli miRebis win.<br />
suspenziaSi wamlis araTanabari ganawileba<br />
SeiZleba iyos araefeqturi<br />
mkurnalobis an wamlis toqsiurobis mizezi.<br />
magaliTad cnobilia fenitoinis<br />
suspenziiT intoqsikacia, romelic mi-<br />
Rebamde ar Seanjries. amitom eqimma kargad<br />
unda icodes wamlebis yvela forma<br />
da mSobels misces instruqcia misi gamoyenebis<br />
Sesaxeb.<br />
meore problemaa- pediatriaSi daniSnulebis<br />
Sesrulebis sizuste, romelic<br />
damokidebulia ara marto mSoblis mcdelobaze<br />
zustad Seasrulos daniSnuleba,<br />
aramed wamlis gazomvis sisworeze,wamlis<br />
gadmofurTxebaze da sxva.<br />
mag. sxvadasxva Cais kovzis moculoba<br />
varirebs 2,5 dan 7,8 mde. amitom mSobelma<br />
wamali sazomi WiqiT an kovziT unda misces<br />
bavSvs, romelic axlavs wamals an<br />
misi SeZena SesaZlebelia afTiaqSi.<br />
wamlis Txevadi Fformebi ufro mosaxerxebelia<br />
5 wlamde asakis bavSvebSi.<br />
tabletebi – es aris wamlis myari forma,<br />
romelSic moqmedi sawyisi dapresilia farmakologiurad<br />
inertulnivTierebasTan.<br />
arsebobs wamlis formebi (mravalSriani<br />
garsis mqone abebi), romlebic nelnela<br />
aTavisufleben moqmed nivTierebas,<br />
rac uzrunvelyofs Terapiuli moqmedebis<br />
prolongirebas, aseve abebi romel-<br />
Ta afki mdgradia kuWis wvenis moqmedebis<br />
mimarT da romelic ixsneba tute<br />
garemoSi anu nawlavebSi.<br />
zogierTi komerciuli produqtis SemadgenlobaSi<br />
SeZleba iyos alkoholi,<br />
propilenglikoli, saRebavebi, romlebmac<br />
SeiZleba gamooiwvion arasasurveli<br />
reaqciebi, amitom msgavsi wamlebi ar<br />
unda iyos gamoyenebuli gansazRvruli<br />
daavadebe-bis mqone bavSvebSi.<br />
preparatebi, romlebic ar Seicaven<br />
Saqars SeiZleba gamoyenebuli iqnes Saqriani<br />
diabetis mqone bavSvebSi an kariesis<br />
profilaqtikis mizniT. magram unda<br />
gaviTvaliswinoT, rom zogierTi Saqris<br />
Semcvleli, magaliTad sinTezuri<br />
nivTiereba aspartami, romelsac Seicavs<br />
zogierTi preparati ar SeiZleba mieces<br />
bavSvs fenilketonuriiT, radgan Seicavs<br />
fenilalanins. sxva karbohidratebi, ise-<br />
Tebi rogoric aris sorbitoli da glicerini<br />
ar iwveven kariess, magram did<br />
dozebSi.SeiZleba gamoiwvion diarea.<br />
fxvnilebi aseve SeiZleba damzaddes<br />
da gamoviyenoT rogorc alternativa, magram<br />
unda gaviTvaliswinoT, rom isini<br />
xSirad Semavseblis saxiT Seicaven laq-<br />
tozas, xolo zogierT bavSvs gaaCnia laqtozis<br />
Tandayolili autanloba.<br />
reqtaluri Seyvanis dadebiTi mxarea<br />
is, rom am dros ar xdeba kuWis gaRizianeba,<br />
am gziT wamlis Seyvana umjobesia Rebinebis,<br />
ylapvis ararsebobis da avadmyofis<br />
ugono mdgomareobaSi yofnis dros. reqtalurad<br />
wamaliSehyavT sanTlebis(supozitoriebis)<br />
an siTxeebis (wamlis oynis) saxiT.am<br />
gzas iyeneben rogorc adgilobrivi<br />
Sedegis (mag. wylulovani kolitebis) aseve<br />
sistemuri efeqtis misaRebad. reqtalurad<br />
Seyvanili wamlis doza peroraluri<br />
dozis Sesabamisia an mcired aRemateba mas.<br />
reqtaluri gzis ukuCvenebis mizezebia<br />
wamlis am gziT Seyvanisas fsiqologiuri<br />
gaRizianeba, aseve swori nawlavis<br />
gaRizianeba da zogjer anTebac ki wamlebis<br />
ganmeorebiTi Seyvanis Semdeg an<br />
wamlebis arasakmarisi Sewova swor nawlavSi<br />
fekaluri masebis arsebobisas.<br />
wamlis Seyvanis parenteraluri gza<br />
wamlis Seyvanis parenteralur gzas<br />
miekuTvneba sxvadasxva ineqciebi, inhalaciebi,<br />
kanis da lorwovanis gziT wamlis<br />
Seyvanis meTodebi.<br />
mcire asakis bavSvebSi wamlis Seyvanis<br />
parenteraluri gza upiratesia. yvelaze<br />
xSirad sargebloben intramuskularuli<br />
da intravenuri gzebiT.<br />
xolo hemodinamikis, mikrocirkulaciis<br />
darRvevis dros intravenuri. am dros<br />
wamlis intravenuri Seyvana unda xorcieldebodes<br />
nela. wamlis am gziT Seyvanis<br />
dros efeqti vlindeba Zalian swrafad<br />
da wamlis dozireba ufro zustia.<br />
Cveulebriv, intravenurad SeyavT is<br />
preparatebi, romlebic ar Seiwovebian<br />
kuW_nawlavis traqtidan an zedmetad gamaRizianebeli<br />
moqmedeba aqvT.<br />
pediatriul praqtikaSi parenteralur<br />
Seyvanas xSirad Tan sdevs sirTuleebi.<br />
ase magaliTad parenteralurad Sesayvani<br />
wamlis gaxsna iwvevs organizmSi Sesayvani<br />
siTxis moculobis arasasurvel gazrdas.<br />
gaTvaliswinebuli unda iyos is, rom<br />
zogierTi parenteraluri wamali Seicavs<br />
sxvadasxva komponentebs, romlebsac SeuZliaT<br />
arasasurveli reaqciebis gamowveva,<br />
metaboluri acidozis, depresiis, gulis<br />
ariTmiebis CaTvliT. amitom wamlis Ser-<br />
Cevisas gasaTvaliswinebelia masSi Semavali<br />
sxva ingredientebis Tanarsebobac.<br />
wamlis miRebis reJimis dacva pediatriaSi<br />
bavSvisTvis daniSnuli wamlebis re-<br />
Jimis dacvaSi aqtiuri monawileoba unda<br />
miiRos mSobelma.<br />
kvlevebiT dadginda, rom mSoblebis umravlesoba<br />
saWirod miiCnevs 8-10 wlidan<br />
bavSvebi aqtiurad CaerTon konsultaciis<br />
procesSi. Nnebismier SemTxvevaSi eqimma mSobels<br />
unda miuTi-Tos, rom aqtiurad Caer-<br />
Tos bavSvis samkurnalod micemuli daniSnulebis<br />
Sesrulebis procesSi da auxsnas,<br />
rom farmako-Terapiis efeqturoba mniSvnelovnad<br />
aris damokidebuli masze.<br />
preparatis SerCevaze SeiZleba gavlena<br />
iqonios formam, garegnulma saxem,<br />
sunma da gemom. aseve gasaTvaliswinebelia,<br />
rom miRebis reJimi unda emTxveodes<br />
bavSvis fxizlobis periods.<br />
aseve unda avuxsnaT mSobels daniSnulebis<br />
zustad Sesru-lebis aucilebloba.<br />
dauSvebelia wamlis Sewyveta vadaze<br />
adre, miuxedavad bavSvis garegnuli<br />
gamojanmrTelebisa, rasac xSirad<br />
vxvdebiT mSoblebis mxridan.<br />
unda moxdes mSoblebis <strong>info</strong>rmireba<br />
wamlis SesaZlo gverdiTi efeqtebis,sxva<br />
wamlebTan urTierTqmedebis da sakvebTan<br />
maTi urTierTqmedebis, gansakuTrebiT wamlisa<br />
da rZis urTierTqmedebis Sesaxeb.<br />
bavSvTa asakSi wamlis daniSvnisas<br />
prioriteti eniWeba, (ra Tqma unda SesaZleblobis<br />
farglebSi), martiv mosaxerxebel<br />
wamlis formebs, dozirebas da<br />
Seyvanis gzebs.
24 aprils Tbilisi<br />
SeZra Semzaravma<br />
ambavma: daTo<br />
fruiZe gardaicvala!<br />
daTos megobrebis<br />
da nacnobebis<br />
usazRvrod didi<br />
wrisaTvis warmoudgenelia<br />
imis dajereba,<br />
rom aRar aris axalgazrda,<br />
energiuli, uzomod ganaTlebuli,<br />
iumoriT savse, gamousworebeli<br />
optimisti,<br />
axali ideebis generatori,<br />
daxvewili Tbiliseli kaci.<br />
daTo fruiZis wasvlam<br />
yvela dagvasevdiana. miuxedavad<br />
imisa, rom mis cxovrebaSi<br />
iyo tragikuli epizodebic,<br />
gulistkenac, Tvi-<br />
Ton arafers imCnevda da<br />
aravisTvis utkenia guli<br />
uxeSi qceviT da sityvapasuxiT.<br />
paradoqsia: misi<br />
gaxsenebis dros Tvalebi<br />
cremliT gvevseba, magram<br />
uneburad gveRimeba, radgan<br />
masTan dakavSirebuliyovelicxovrebiseuli<br />
epizodi<br />
aRsavsea iumoriT,oxunjobiT,enamoswrebulisityva-pa-<br />
viola beriSvili<br />
Zalian Znelia masze warsul<br />
droSi saubari. is ise-<br />
Ti energiuli da dauRalavi<br />
iyo, yvelafrisadmi gansakuTrebulidamokidebulebiT.<br />
iyo sicicxlis moyvaruli<br />
adamiani, kargi deda,<br />
iSviaTi qali. daxvewili, inteligenturi,<br />
maRali donis<br />
profesionali, mecnieri da<br />
pedagogi. mis cxovrebaSi iyo<br />
ori mniSvnelovani etapi iyo.<br />
erTi _ iv. beritaSvilis saxelobis<br />
fiziologiis institutis<br />
msoflioSi aRiarebuli<br />
skola, meore - Tbilisis<br />
saxelmwifo samedicino<br />
universiteti. orive Rirseulad<br />
da warmatebulad gaiara.<br />
iSviaTia adamianebi,<br />
romlebsac gaaCniaT Tavisi<br />
saqmisadmi miseuli damokidebuleba.<br />
dauzareli da da-<br />
daviT fruiZe<br />
(03.01. 1960 – 24.04.2013)<br />
uRalavi iyo. mxolod is rad<br />
Rirda, rogor muSaobda is<br />
studentebTan samecniero<br />
wreSi. rogor uyvarda konferenciebis<br />
mowyoba da organizacia.<br />
yvelaferi unda<br />
gaekeTebina gansakuTrebulad<br />
kargad, yovelTvis Zalian<br />
gansxvavebulad. TiTqmis<br />
mxolod amisTvis cocxlobda<br />
da arsebobda. cdilobda<br />
yoveli RonisZieba<br />
dResaswauli yofiliyo. saerTod,<br />
sadResaswaulo situaciis<br />
Seqmna saxlSic da<br />
gareTac misi cxovrebis kredo<br />
iyo. mas sxvanairad ar<br />
SeeZlo. yvelaferi mis irgvliv<br />
mxolod saukeTeso unda<br />
yofiliyo. is Zalian ixarjeboda<br />
da, amitom, etyoba ve-<br />
Rar gauZlo da gadaiwva.<br />
Tundac is rad Rirs, rogor<br />
ar imCnevda viola Tavis mZime<br />
avadmyofobas, rogor bolomde<br />
cdilobda sul karg<br />
xasiaTze yofnas. dadioda<br />
koncertebze, speqtaklebze. is<br />
xom xelovnebis Zalian didi<br />
moyvaruli iyo. sul gegmavda<br />
sadRac wasvlas, ra-<br />
Racis naxvas, gakeTebas. uyvarda<br />
megobrebTan urTier-<br />
Toba. yvelas unawilebda Tavis<br />
sikeTes da siyvaruls...<br />
da Semdeg, sul ramodenime<br />
dReSi Caqra...<br />
manana WipaSvili<br />
Tssu, molekuluri da<br />
samedicino genetikis<br />
departamentis profesori<br />
suxiT. igi dajildovebuli<br />
iyo iumoris udidesi<br />
niWiT.<br />
gavixsenoT daTos biografiuli<br />
monacemebi:<br />
daviT fruiZe daibada<br />
03.01. 1960w.<br />
dabadebis adgili: Tbilisi,<br />
saqarTvelo<br />
ganaTleba: Tbilisis saxelmwifo<br />
samedicino institutis<br />
samkurnalo fakulteti<br />
1983<br />
medicinis doqtoris samecniero<br />
xarisxi 1989<br />
staJireba wminda anas<br />
bavSvTa saavadmyofos kritikuli<br />
medicinis departamentSi,<br />
vena, avstria 2000<br />
saerTaSoriso treningi<br />
Temaze: hospitalTa menejmenti<br />
2009<br />
profesiuli gamocdileba:<br />
bavSvTa respublikuri<br />
saavadmyofos<br />
aTi weli sruldeba, rac<br />
is CvenTan aRar aris. Zalian<br />
male gavida dro. TiTqos es<br />
guSin moxda. iSviaTad Semxvedria<br />
adamiani, romelsac uyvarda<br />
yvela. is didTan didi<br />
iyo, patarasTan _ patara. arasodes<br />
ar gamigia vinmeze sayveduri<br />
eTqvas. gamousworebeli<br />
optimisti iyo, sicocxleze<br />
da Tavis saqmeze Seyvarebuli.<br />
samwuxarod, cxovreba<br />
rTuli iyo. mas mouxda ramodenime<br />
etapis gavla. es jer<br />
pediatria iyo, Semdeg _ biologia<br />
da samedicino genetika,<br />
da, bolos _ socialuri<br />
pediatria. gavida dro da<br />
mxolod exla mivxvdi, ramxela<br />
saqmes akeTebda. ase megona,<br />
rom is arafers gansakuTrebuls<br />
ar akeTebda. cxovrobda<br />
ise, rogorc SeeZlo<br />
da jeroda. yvelas exmareboda.<br />
cdilobda yvelasTvis gaenawilebina<br />
Tavisi sikeTe. ke-<br />
TilSobili adamiani iyo.<br />
profesionali, inteligenti,<br />
daxvewili pirovneba da namdvili<br />
qalaqeli... qarTveli<br />
- moroSkini...<br />
Zalian kargi megobari iyo.<br />
dRemde is axsovs yvelas. mis<br />
saflavze xSirad viRacis mitanili<br />
yvavilebi devs. pediatrebis<br />
da genetikosebis nebismier<br />
RonisZiebaze sul misi<br />
saxelis xsenebaa. zaur fxalaZes<br />
misi suraTi samsaxur-<br />
Si samuSao kabinetSi ukidia,<br />
zurab Ciqovans ki _ saxlSi<br />
Tavisi gardacvlili Svilis<br />
gverdze. sadac waxval, an misi<br />
megobari, an misi mowafe<br />
gxvdeba - TbilisSi, moskovSi,<br />
reanimaciis ganyofilebis<br />
eqimi 1983-1990<br />
T.s.s.i. bavSvTa qirurgiis<br />
kaTdris asistenti<br />
1990-1995<br />
m.iaSvilis bavSvTa<br />
centraluri saavadmyofos<br />
kritikuli medicinis<br />
samsaxuris ufrosi<br />
1995-2002<br />
`eqimebi sazRvrebs<br />
gareT `samedicino koordinatori<br />
2002-2004<br />
saqarTvelos iusticiis<br />
saministros samedicino<br />
departamentis<br />
mrCeveli 2004<br />
Tbilisis saxelmwifo<br />
samedicino akademi-<br />
is upg da adamianuriresusrsebisdepartamentis<br />
ufrosi 2004-<br />
2006<br />
g.Jvanias saxelobispediatriuli<br />
klinikis<br />
direqtori 2006-<br />
2012<br />
kievSi, JenevaSi. gasakviria, magram<br />
misi sikeTis madli mis<br />
Svilebs xSirad win xvdebaT.<br />
misi megobrebis Svilebi Cve-<br />
viqtor<br />
moroSkini<br />
ni Svilebis megobrebi gaxdnen.<br />
da grZeldeba isev is siyvaruli<br />
da siTbo, rasac is<br />
unawilebda yvelas, uSurvelad<br />
da uangarod. Zalian damaklda<br />
misi gverdiT yofna.<br />
mis gverdiT xom ara marto<br />
me, yvela qali qalad grZnobda<br />
Tavs. amas winad, JenevaSi<br />
Cemma umcrosma qaliSvilma<br />
miTxra: „ici, me bavSvobaSi mama<br />
ufro maxsovs, vidre Sen.<br />
Sen sul samsaxurSi, gamocdebze<br />
da kvalifikaciaze iyavi<br />
wasuli, an saxlSi raRacas<br />
akeTebdi. CvenTvis naklebad<br />
iclidi. mama ki sul Cven-<br />
15<br />
gaxseneba<br />
saqarTvelos pediatrTa<br />
akademiis generaluri mdivani<br />
2008-2012<br />
unar-Cvevebi: inglisuri,rusuli<br />
( Tavisuflad)<br />
saofise kompiuteruli<br />
programebi<br />
cxovreba grZeldeba<br />
axla ukve daTo<br />
fruiZis gareSe, misi<br />
xsovna samaradJamod<br />
darCeba misi ojaxis<br />
wevrebis, megobrebis<br />
da ubralod nacnobebis<br />
gulebSi.<br />
redaqcia da<br />
megobrebis jgufi<br />
Tan iyo - yvelgan davyavdiT,<br />
gvaseirnebda, gvmkurnalobda,<br />
gadasxmebs gvikeTebda, araferze<br />
uars ar gveubneboda. sul<br />
CvenTan iyo“. misi suli, albaT,<br />
isev sul TqvenTan aris.<br />
is TqveniT amayobda da, albaT,<br />
iqac, sadac wavida TqveniT<br />
xarobs. kargebi gagzardeT.<br />
RmerTis madlobeli var,<br />
rom Tavis droze studenti<br />
gogo Sevxvdi axalgazrda<br />
eqims, Wkvians, daxvewils, sxvebisagan<br />
Zalian gansxvavebuls,<br />
romlisganac bevri ram viswavle<br />
_ megobroba, mimtevebloba,<br />
saqmisadmi da garSemomyofebisadmi<br />
damokidebuleba.<br />
samwuxarod, adamianebis<br />
wasvlis Semdeg TandaTan<br />
xvdebi vin iyvnen isini da rogor<br />
gaklia maTi gverdze yofna.<br />
droTa ganmavlobaSi sxva<br />
TvaliT uyureb cxovrebas da<br />
sxvanairad afaseb yvelafers.<br />
„, -<br />
“ (rodesac gvyavs _ ver<br />
vafasebT, dakargvisas _ vtiriT).<br />
ase yofila...<br />
manana Wi paSvili,<br />
Tssu, molekuluri da<br />
samedicino genetikis<br />
departamentis profesori
16 16<br />
mTavari redaqtori: g. CaxunaSvili<br />
moadgile: T. miqelaZe<br />
saredaqcio sabWo: _ n. marinaSvili, g. arvelaZe,<br />
n. badriaSvili, n. TofuriZe, d. CaxunaSvili, g.<br />
CaxunaSvili, q. nefariZe, b. zenaiSvili, n. kvirkvelia,<br />
k. CaxunaSvili.<br />
erT-erTi erT-erTi pirveli pirveli qarTuli qarTuli preparatebi<br />
preparatebi<br />
gasayidad<br />
ar<br />
gavrceldeba<br />
ISSN 1987-9849<br />
UDC (uak) 616-053.2(054) s-743